Individual
DR. THANH NGOC VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2604 E CENTRAL AVE, SUITE B, WICHITA, KS 67214-4679
(316) 684-9900
(316) 684-9901
Mailing address
2604 E CENTRAL AVE, SUITE B, WICHITA, KS 67214-4679
(316) 684-9900
(316) 684-9901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-28430
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345240B
—
KS
Enumeration date
10/10/2006
Last updated
01/27/2014
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