Individual
KELVIN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 HERON BAY RD, JACKSONVILLE, FL 32218-3595
(904) 470-6900
Mailing address
1887 ABA DR, ORANGE PARK, FL 32073-2783
(813) 205-6044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
92525
GA
2084P0800X
Psychiatry Physician
Primary
ME155200
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/23/2018
Last updated
08/15/2025
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