Individual
KIEU VAN DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-9612
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9301
(419) 226-9703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4240
WV
Other
Enumeration date
04/06/2021
Last updated
11/03/2024
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