DR. KELLY MYANH PHAN (NPI# 1578721940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578721940 |
| Entity Type | Individual |
| Full Name | DR. KELLY MYANH PHAN |
| Credential | MD |
| Practice Address |
Scott and White Hospital 2401 South 31st Street Temple TX 76508-0001 |
| Mailing Address |
2408 Wilshire Dr Temple TX 76502-7323 |
| Practice Telephone | 2547242111 |
| Mailing Telephone | 2812354614 |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2010-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N3242 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10028513 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400783 | Kelly D Phan | Pharmacist | 2514 Berryessa Rd, San Jose, CA 95132-2947 | 2019-05-01 |
| 1295266823 | Kelly Phan | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Bcm 320, Houston, TX 77030-3411 | 2017-03-24 |
| 1134553381 | Kelly Nguyen Phan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-08-23 |
| 1760611248 | Kelly Phuong Phan | Optometrist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-07-06 |
| Street Address |
SCOTT AND WHITE HOSPITAL 2401 SOUTH 31ST STREET |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101417 | Stefanie Marie Rapp | Dietitian, Registered | Scott and White Hospital, 2401 South 31st Street, Temple, TX 76508-0001 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1477073161 | Sheena Simon | Internal Medicine | Scott and White Memorial Hospital 2401 S St, Temple, TX 76508-0001 | 2017-06-22 |
| 1033646252 | Hannah Pederson | Internal Medicine | 2401 S 31st St # Ms 27104a, Temple, TX 76508-0001 | 2017-05-18 |
| 1669821070 | Brett Deatherage | Internal Medicine | Scott & White Healthcare - Internal Medicine, 2401 S. 31st St., Temple, TX 76508 | 2016-06-07 |
| 1770961484 | Amy Elizabeth Barnett | Internal Medicine | Department of Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-13 |
| 1265878045 | Rachael Lea Pattison | Internal Medicine | 7921 Honeysuckle, Temple, TX 76502-5554 | 2013-05-20 |
| 1376886853 | Zunair Nazim Afghani | Internal Medicine | 2401 S 31st St # 9c513c, Temple, TX 76508 | 2013-04-03 |
| 1710245162 | Constance Larea Cole | Internal Medicine | 463 Westfield Blvd, Apt. 836, Temple, TX 76502-5318 | 2012-04-23 |
| 1891089025 | Aruna Lakshmi Jahoor | Internal Medicine | Dept of Internal Medicine 1605 S 31st St, Temple, TX 76508-0001 | 2011-06-06 |
| 1689814386 | Mammen Ashish Sam | Internal Medicine | 2416 S 13th St Apt 626, Temple, TX 76504-7815 | 2009-02-20 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on DR. KELLY MYANH PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.