Provider Demographics
NPI:1295786143
Name:HAAS, KEVAN P (PA-C)
Entity type:Individual
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First Name:KEVAN
Middle Name:P
Last Name:HAAS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3040 BURNETT WOMACK BUILDING CB 7065
Mailing Address - Street 2:UNIVERSITY OF NORTH CAROLINA
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7065
Mailing Address - Country:US
Mailing Address - Phone:919-966-3881
Mailing Address - Fax:919-966-3475
Practice Address - Street 1:3040 BURNETT WOMACK BUILDING CB 7065
Practice Address - Street 2:UNIVERSITY OF NORTH CAROLINA
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7065
Practice Address - Country:US
Practice Address - Phone:919-966-3881
Practice Address - Fax:919-966-3475
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-05-09
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
NC0010-04486363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant