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NPI Code Detail

MEDICARE: MRS. KATHY H. CHAN PA-C

MEDICARE: MRS. KATHY H. CHAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC01371MD

General Provider Information

NPI Number : 1427207778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHY H. CHAN PA-C
Provider Business Mailing Address
First Line : 1700 EAST COLD SPRING LANE
Second Line : MORGAN STATE UNIVERSITY
City : BALTIMORE
State : MD
Zip : 21251-0001
Country : US
Telephone Number : 443-885-1677
Fax Number : 443-882-8232
Provider Business Practice Location Address
First Line : MORGAN STATE UNIVERSITY
Second Line : WOOLFORD INFIRMARY
City : BALTIMORE
State : MD
Zip : 21251-0001
Country : US
Telephone Number : 443-885-1677
Fax Number : 443-882-8232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 11/30/2025

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Directions to “ MRS. KATHY H. CHAN PA-C” Practice Location

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