Individual provider · Type 1 NPI

Jessica Kwong Yun Chan, MD

Family Medicine Physician · Fort Leonard Wood, MO

NPI number 1194307769 Active

Practice location

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 596-0417 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X35.147420 (OH)

Family Medicine Physician: 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.

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About NPI 1194307769

Jessica Kwong Yun Chan, MD's National Provider Identifier is 1194307769, issued on Apr 23, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Apr 20, 2026.