Nguyen Family Medicine Llc | |
1431 S Bluffview Dr Ste 212 Wichita KS 67218-3039 | |
(316) 252-8373 | |
(316) 295-4289 |
Full Name | Nguyen Family Medicine Llc |
---|---|
Speciality | Family Medicine |
Location | 1431 S Bluffview Dr Ste 212, Wichita, Kansas |
Authorized Official Name and Position | Dung Van Nguyen (CEO) |
Authorized Official Contact | 3162528373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nguyen Family Medicine Llc 1431 S Bluffview Dr Ste 212 Wichita KS 67218-3039 Ph: (316) 252-8373 | Nguyen Family Medicine Llc 1431 S Bluffview Dr Ste 212 Wichita KS 67218-3039 Ph: (316) 252-8373 |
NPI Number | 1437546173 |
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Provider Enumeration Date | 04/21/2015 |
Last Update Date | 06/09/2015 |
Medicare PECOS PAC ID | 9830401835 |
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Medicare Enrollment ID | O20150706000765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437546173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dung V Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962554857 PECOS PAC ID: 4486757556 Enrollment ID: I20070309000256 |
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