Individual
DR. KEVIN KHUONG DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1035 E JEFFERSON ST, PHOENIX, AZ 85034-2295
(602) 251-0650
Mailing address
23417 N. 64TH AVE, GLENDALE, AZ 85310
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15930
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15930-RPH
IMMUNIZATION PROGRAM
AZ
Enumeration date
04/25/2012
Last updated
11/17/2014
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