Individual
KIET A. DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO.
Contact information
Practice address
708 DEL PRADO BLVD S STE 6, CAPE CORAL, FL 33990-2661
(239) 424-2755
(239) 424-2756
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2755
(239) 424-2756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101013629
MI
208600000X
Surgery Physician
Primary
OS 13067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014268800
—
FL
05
—
114606435
—
MI
Enumeration date
07/07/2005
Last updated
03/25/2021
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