Individual
DR. KENNY KHOA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 WOLF CREEK BLVD, SUITE 2, DOVER, DE 19901-4969
(302) 678-0510
(302) 678-2864
Mailing address
111 WOLF CREEK BLVD, SUITE 2, DOVER, DE 19901-4969
(302) 678-0510
(302) 678-2864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101240716
VA
207Q00000X
Family Medicine Physician
Primary
C1-0008350
DE
390200000X
Student in an Organized Health Care Education/Training Program
C7-0003034
DE
Other
Enumeration date
03/15/2007
Last updated
04/09/2015
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