NPI 1053689133

Chan S Han MD PA

Organisation Exclusive Provider Organization Coffeyville, KS

Practice location

Address: 908 Siggins St, Coffeyville, KS 67337-2921
Phone: (620) 251-1560
Fax: (620) 251-8144

Authorised official

Name: Chan S Han
Title: Owner
Phone: (620) 251-1560

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 04-15718 (KS)

Other Exclusive Provider Organization providers in Kansas →

Registry record

NPI: 1053689133
Entity type: Organization
NPI issued: 5 Dec 2011
Record last updated: 5 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.