Individual
DR. KEVIN CHARLES TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5030
(215) 707-3494
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD493317
PA
207P00000X
Emergency Medicine Physician
Primary
MT227998
PA
Other
Enumeration date
06/02/2023
Last updated
05/11/2026
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