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NPI Code Detail

MEDICARE: KIM TRAN

MEDICARE: KIM TRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist65133CA

General Provider Information

NPI Number : 1740559160
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM TRAN
Provider Business Mailing Address
First Line : 6010 N FIGARDEN DR
Second Line :
City : FRESNO
State : CA
Zip : 93722-7922
Country : US
Telephone Number : 559-271-4926
Fax Number : 559-271-4930
Provider Business Practice Location Address
First Line : 6010 N FIGARDEN DR
Second Line :
City : FRESNO
State : CA
Zip : 93722-7922
Country : US
Telephone Number : 559-271-4926
Fax Number : 559-271-4930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2011
Last Update Date : 12/14/2011

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Directions to “ KIM TRAN ” Practice Location

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