Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC29371 | CA |
NPI | 1013007517 |
---|---|
Provider Name | Dr. Kevin A Tran |
First Address | Merced, CA 95348-3410 |
Second Address | Merced, CA 95348-3410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 17/03/2018 |