Individual
KENNETH L FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, DEPARTMENT OF PLASTIC SURGERY, WASHINGTON, DC 20007
(202) 444-1233
Mailing address
3800 RESERVOIR RD NW, DEPARTMENT OF PLASTIC SURGERY, WASHINGTON, DC 20007-2113
(202) 444-1233
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD045855
DC
Other
Enumeration date
04/02/2012
Last updated
09/06/2018
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