Individual
DR. THANH N TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338
Mailing address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-21960
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230970D
—
KS
05
—
100416440A
—
KS
01
—
103153
BLUE CROSS
KS
05
—
607840
—
KS
01
—
RAILROAD MEDICARE
P00057329
KS
Enumeration date
02/01/2006
Last updated
10/17/2012
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