Individual
VIVIEN LE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9596 N MCGEE ST, KANSAS CITY, MO 64155-8103
(816) 476-4017
Mailing address
5054 CANTERBURY RD, ROELAND PARK, KS 66205-1621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025023990
MO
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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