Mrs. Katherine Lillian Chan
Family Doctor
798 Executive Dr
Oviedo
, Florida 32765
Mrs. Katherine Lillian Chan
Family Doctor
798 Executive Dr
Oviedo
, Florida 32765
(407) 359-8580
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Mrs. Katherine Lillian Chan
- 798 Executive Dr
- Oviedo, FL
- Zip : 32765-6392
- Phone : (407) 359-8580
Second Address
- Mrs. Katherine Lillian Chan
- 798 Executive Dr
- Oviedo, FL
- Zip : 32765
- Fax : (407) 359-8364
- Phone : (407) 359-8580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 076953 | GA |
| N | 207Q00000X | Family Doctor | 35648 | SC |
| Y | 207Q00000X | Family Doctor | ME136423 | FL |
National Provider Identifier
| NPI | 1003254012 |
|---|---|
| Provider Name | Mrs. Katherine Lillian Chan |
| First Address | Oviedo, FL 32765-6392 |
| Second Address | Oviedo, FL 32765 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2013 |
| Last Update Date | 06/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.