Individual
DR. KEVIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8100 BOONE BLVD STE 150, TYSONS CORNER, VA 22182-2629
(703) 991-2766
Mailing address
8100 BOONE BLVD STE 150, TYSONS CORNER, VA 22182-2629
(703) 991-2766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA2733
MD
152WP0200X
Pediatric Optometrist
Primary
0618002281
VA
Other
Enumeration date
08/16/2013
Last updated
02/14/2019
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