Provider Demographics
NPI:1538521257
Name:KAN, ALAN H
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:H
Last Name:KAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 HUTTON DR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-9005
Mailing Address - Country:US
Mailing Address - Phone:972-406-7000
Mailing Address - Fax:972-406-7040
Practice Address - Street 1:13710 HUTTON DR
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-9005
Practice Address - Country:US
Practice Address - Phone:972-406-7000
Practice Address - Fax:972-406-7040
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor