Individual provider · Type 1 NPI

Matthew K. Kan, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1629507652 Active

Practice location

800 Howard Ave
New Haven, CT 06519-1369

Fax (203) 785-3950

Mailing address

34 Maple St
Norwalk, CT 06850-3815

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3923 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1629507652

Matthew K. Kan, PA-C's National Provider Identifier is 1629507652, issued on Jun 4, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Jul 16, 2019.