Individual
DAVID KIM HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
1616 33RD ST SE, RIO RANCHO, NM 87124-1702
(316) 765-4698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-127191-022
KS
367500000X
Certified Registered Nurse Anesthetist
557731
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
61518
NM
Other
Enumeration date
04/12/2019
Last updated
11/04/2020
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