Individual
DR. KEVIN QINYI FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-2483
Mailing address
13922 FALCONCREST RD, GERMANTOWN, MD 20874-2260
(240) 702-4978
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
59743
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
07/23/2024
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