National Provider Identifier
Kenneth Fan, DO
Kenneth Fan, DO is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Buffalo, NY and a listed phone number of (716) 878-7750.
Profile Overview
- NPI
- 1801206750
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- April 30, 2014
- Last Updated
- June 28, 2018
Practice Location
- 219 Bryant St
- University At Buffalo Department Of Ob/Gyn
- Buffalo, NY 14222
Phone: (716) 878-7750
Mailing Address
- 405 Admirals Walk
- Buffalo, NY 14202-4333
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1801206750
- Entity Type
- Individual
- Last Name
- Fan
- First Name
- Kenneth
- Credential
- DO
- Mailing Street Address
- 405 Admirals Walk
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4333
- Mailing Country
- US
- Mailing Phone
- (626) 841-8082
- Practice Street Address
- 219 Bryant St
- Practice Address Line 2
- University At Buffalo Department Of Ob/Gyn
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222
- Practice Country
- US
- Practice Phone
- (716) 878-7750
- Practice Fax
- (716) 888-3833
- Enumeration Date
- April 30, 2014
- Last Updated
- June 28, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X), Student in an Organized Health Care Education/Training Program (390200000X)