Individual
KEVIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, EYE CLINIC, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT34880-TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2021
Last updated
06/30/2023
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