Individual
MAUNG M. KYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR STE 312C, ABINGDON, VA 24211-7664
(276) 258-1985
(276) 258-1989
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253946
VA
207R00000X
Internal Medicine Physician
36116419
IL
207RN0300X
Nephrology Physician
Primary
0101253946
VA
207RN0300X
Nephrology Physician
36116419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043231988
—
VA
01
—
VV9943A
MEDICARE
VA
Enumeration date
07/23/2006
Last updated
12/18/2023
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