Individual
ELIZABETH CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2341 W LINCOLN RD, KOKOMO, IN 46902-8012
(844) 424-3668
(317) 575-6909
Mailing address
2341 W LINCOLN RD, KOKOMO, IN 46902-8012
(844) 424-3668
(317) 575-6909
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001339A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-1408630
JEWISH HOSPITAL
OH
Enumeration date
04/25/2017
Last updated
03/20/2021
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