Individual
MR. KHANG DUC LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 64507-2510
(816) 671-4888
(816) 671-4890
Mailing address
802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 64507-2510
(816) 671-4888
(816) 671-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012016481
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2012
Last updated
07/21/2022
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