Individual
DR. KELLVAN J CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4425 PLANO PKWY STE 1702, CARROLLTON, TX 75010-5038
(214) 710-1028
(214) 710-1029
Mailing address
4425 PLANO PKWY STE 1702, CARROLLTON, TX 75010-5038
(214) 710-1028
(214) 710-1029
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42SV
BCBS GROUP
TX
01
—
7061140
AETNA
TX
01
—
7127822
AETNA
TX
01
—
8W2360
BCBS INDV ID
TX
Enumeration date
07/17/2006
Last updated
06/07/2022
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