Individual
KEVIN D HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004
(602) 258-4788
Mailing address
370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
(602) 258-4788
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
55646
AZ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
55646
AZ
Other
Enumeration date
03/23/2011
Last updated
07/02/2018
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