Individual
KELLY PHAN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
546 WINTER ST STE 100, WOOSTER, OH 44691-2339
(330) 202-5662
(330) 202-5663
Mailing address
546 WINTER ST STE 100, WOOSTER, OH 44691-2339
(330) 202-5662
(330) 202-5663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.018222
OH
Other
Enumeration date
04/03/2020
Last updated
10/07/2025
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