DR KEVIN CHAN PC NPI 1063640977

NPI Information

  • NPI: 1063640977
  • Provider Name: DR KEVIN CHAN PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PINEAPPLE HEALTH
  • CLIA Number: 03D0894608
  • Address: 12010 S WARNER ELLIOT LOOP STE 1
    PHOENIX, AZ
    ZIP 85044
  • Phone: (480) 961-2366

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NPI Details

DR KEVIN CHAN PC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR KEVIN CHAN PC NPI is 1063640977. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pineapple Health.

The provider's business location address is:

12010 S WARNER ELLIOT LOOP STE 1
PHOENIX, AZ
ZIP 85044-731
Phone: (480) 961-2366
Fax: (480) 961-2367

The provider's authorized official is Kevin Yin Shun Chan .
The authorized official title is Owner and has the following contact phone number (480) 577-8199.

The CLIA number assigned to this NPI record is 03D0894608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 7/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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