Individual
DR. THUY THI NGUYEN DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 681-5522
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 681-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-31552
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719107
MEDICARE
—
05
—
200401910B
—
KS
Enumeration date
07/04/2006
Last updated
07/16/2015
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