Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service |
NPI | 1174728836 |
---|---|
Provider Name | Ngan K Vuong |
First Address | Prairie Village, KS 66208-3712 |
Second Address | Prairie Village, KS 66208-3712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 10/11/2020 |