Organization
KIET A DOAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIET A DOAN DO (DOCTOR)
(810) 230-9600
Entity
Organization
Contact information
Practice address
3500 CALKINS RD, SUITE A, FLINT, MI 48532-3506
(810) 230-9600
(810) 230-9607
Mailing address
3500 CALKINS RD, SUITE A, FLINT, MI 48532-3506
(810) 230-9600
(810) 230-9607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101013629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993273
HEALTHPLUS
MI
01
—
1011135
MCLAREN HEALTH ADVANTAGE
MA
01
—
1011135
MCLAREN HEALTH PLAN
MI
01
—
11153
MCARE
MI
01
—
5251038
BLUE CARE NETWORK
MI
01
—
6U4055
HEALTH ALLIANCE PLAN
MI
01
—
DB9081
MEDICARE RAILROAD
MI
Enumeration date
01/29/2007
Last updated
08/22/2020
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