Provider Demographics
NPI:1982281325
Name:KAN, OLIVIA S (MD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:S
Last Name:KAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:465 SOUTH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6442
Mailing Address - Country:US
Mailing Address - Phone:973-971-5449
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5449
Practice Address - Fax:973-290-8325
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA128109002080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine