Individual provider · Type 1 NPI

Kevin Shan

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1679143200 Active

Practice location

7200 Cambridge St Fl 9
Houston, TX 77030-4202

Mailing address

1 Baylor Plz # Ms 902
Houston, TX 77030-3498

Other practice locations

  • 5323 Harry Hines Blvd, Dallas, TX 75390-7201 · (214) 648-2168

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679143200

Kevin Shan's National Provider Identifier is 1679143200, issued on Jun 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on May 21, 2025.