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Individual
DR. KENNY KHIEM-HUY MAI
Active
Individual
DR. KENNY KHIEM-HUY MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006199
AZ
207R00000X
Internal Medicine Physician
Primary
20A20663
CA
390200000X
Student in an Organized Health Care Education/Training Program
R1508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830265
—
AZ
Enumeration date
06/15/2010
Last updated
06/05/2024
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