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Individual

DR. KENDRA WALKER TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2060 BRIARGATE PKWY STE 150, COLORADO SPRINGS, CO 80920-7660
(719) 471-1763
(719) 471-2498
Mailing address
200 HAWKINS DR DEPT INTERNAL, IOWA CITY, IA 52242-1009
(319) 467-2000
(319) 384-8955

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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