Provider Demographics
NPI:1831439488
Name:NHAN, KEVIN KIEN (MPT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:KIEN
Last Name:NHAN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8275 MOORHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-4450
Mailing Address - Country:US
Mailing Address - Phone:916-806-7807
Mailing Address - Fax:
Practice Address - Street 1:9500 MICRON AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2617
Practice Address - Country:US
Practice Address - Phone:916-362-7962
Practice Address - Fax:916-362-7963
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39082225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist