Individual
MR. KEVIN A. O'NAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2875 W RAY RD, CHANDLER, AZ 85224-3524
(480) 899-3070
Mailing address
2875 W RAY RD, CHANDLER, AZ 85224-3524
(480) 899-3070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2926
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824418
—
AZ
Enumeration date
08/17/2005
Last updated
11/13/2023
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