Chan, Kam W

Chan, Kam W is an individual health care provider with primary practice located at 1401 Sam Rittenberg Blvd Ste 6 , Charleston SC 29407-5031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chan, Kam W can be contacted via phone (843) 973-5393.

Contact Information

Primary practice address
1401 Sam Rittenberg Blvd Ste 6 Charleston SC 29407-5031
Phone: (843) 973-5393
Fax: (833) 994-1098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21455 South Carolina

Profile Details

NPI number 1891759510
LBN Legal business name Chan, Kam W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Dec 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891759510 NPPES
South Carolina MEDICAID L32196

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