Individual
KELVIN CHEUKHANG LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 W MLK JR. BLVD, 3RD FLOOR, TAMPA, FL 33607-6307
(813) 554-8701
Mailing address
625 6TH AVE S STE 120, ST PETERSBURG, FL 33701-4654
(727) 322-4830
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
48279
KY
208000000X
Pediatrics Physician
MT192388
PA
2080P0202X
Pediatric Cardiology Physician
48279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129252
—
OH
05
—
201297680
—
IN
05
—
7100351530
—
KY
Enumeration date
08/04/2008
Last updated
06/13/2021
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