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Individual

MINHANH KAM

Active
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Individual

MINHANH KAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017012410
MO
363LF0000X
Family Nurse Practitioner
77712
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017012410
FAMILY/INDIVIDUAL ACROSS THE LIFESPAN
MO
01
77712
STATE LICENSE
KS
Enumeration date
05/22/2017
Last updated
02/16/2022
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