Individual
SON T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9301 W 74TH ST, SUITE 225, MERRIAM, KS 66204-2207
(913) 831-1003
(913) 831-4801
Mailing address
4145 W 147TH TER, LEAWOOD, KS 66224-3673
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-33970
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200963830A
—
KS
01
—
43100011
BCBS KC
—
Enumeration date
07/05/2006
Last updated
01/27/2014
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