Individual
DR. KIMOANH THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14929 SHADY GROVE RD UNIT K, ROCKVILLE, MD 20850-7728
(301) 424-1050
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
491885
PROVIDER NUMBER
MD
Enumeration date
01/28/2006
Last updated
05/01/2024
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