Healthcare Provider Details

I. General information

NPI: 1639675416
Provider Name (Legal Business Name): DEBORAH K. CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH KUAN-MEI CHEN MD

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FACILITY DR
CLYDE NC
28721-9438
US

IV. Provider business mailing address

35 FACILITY DR
CLYDE NC
28721-9438
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-5042
  • Fax:
Mailing address:
  • Phone: 828-452-5042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2019-01933
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: