Individual
DR. DANIEL D KIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4100 E CENTRAL AVE, WICHITA, KS 67208-3820
(316) 612-0270
(316) 612-0353
Mailing address
4100 E CENTRAL AVE, WICHITA, KS 67208-3820
(316) 612-0270
(316) 612-0353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7199
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000116536
BCBS OF KANSAS
KS
05
—
100359900A
—
KS
01
—
102885
DORAL PROVIDER NUMBER
KS
Enumeration date
02/27/2006
Last updated
07/13/2012
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