Individual
VERONICA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3009 N CYPRESS ST, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Mailing address
3009 N CYPRESS ST, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01217
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719074
MEDICARE
—
05
—
200548890B
—
KS
Enumeration date
08/24/2007
Last updated
08/28/2020
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