Individual
NGOC-LAN THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6447
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26808
KS
207Q00000X
Family Medicine Physician
042-0011481
VT
207Q00000X
Family Medicine Physician
2019014153
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000430901
MEDICARE PTAN
VT
05
—
1014418
—
VT
Enumeration date
06/03/2006
Last updated
01/27/2022
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