Individual
DR. KENDRA WALKER TAN
Active
Individual
DR. KENDRA WALKER TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD-49793
IA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DR.0073399
CO
207ND0101X
MOHS-Micrographic Surgery Physician
MD-49793
MO
Other
Enumeration date
05/25/2019
Last updated
08/27/2024
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