Individual
DR. CRYSTAL KIM TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2020017973
MO
207W00000X
Ophthalmology Physician
Primary
U3675
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020017973
MISSOURI STATE LICENSE
MO
01
—
94-10400
KANSAS STATE LICENSE
KS
Enumeration date
04/02/2019
Last updated
11/07/2024
Update your record
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