Individual
MRS. THIEN-LAN NHAT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4600 W KELLOGG DR, WICHITA, KS 67209-2568
(316) 946-0105
Mailing address
4600 W KELLOGG DR, WICHITA, KS 67209-2568
(703) 801-2822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1844
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174639975
MEDICARE NPI
KS
Enumeration date
10/01/2009
Last updated
10/01/2009
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