Individual
MS. CHANELL NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 N WOODLAWN ST STE 390, WICHITA, KS 67208-1883
(316) 682-9891
Mailing address
1802 N RED BRUSH ST, WICHITA, KS 67206-4409
(316) 300-0598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2198
KS
Other
Enumeration date
08/16/2023
Last updated
08/18/2023
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