Individual
MRS. KIMBERLY KIEU NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D., PA
Contact information
Practice address
9415 E HARRY ST, SUITE 606, WICHITA, KS 67207-5089
(316) 612-7777
(316) 612-7788
Mailing address
9415 E HARRY ST, SUITE 606, WICHITA, KS 67207-5089
(316) 612-7777
(316) 612-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7142
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116500
BLUE CROSS BLUE SHIELD
KS
01
—
986358
UNITED CONCORDIA
KS
Enumeration date
02/13/2006
Last updated
07/09/2007
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