Individual
KEN YU KI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6431 FANNIN ST, MSB 1.246, HOUSTON, TX 77030
(713) 500-8828
Mailing address
6431 FANNIN ST, MSB 1.260, HOUSTON, TX 77030
(713) 500-8828
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1069816
TX
363LA2100X
Acute Care Nurse Practitioner
95011854
CA
Other
Enumeration date
07/25/2019
Last updated
05/28/2025
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