Individual
KASEY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
8400 15TH AVE, HYATTSVILLE, MD 20783-2431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2025000514
MO
152W00000X
Optometrist
Primary
TA3024
MD
Other
Enumeration date
07/17/2024
Last updated
08/19/2025
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