Healthcare Provider Details

I. General information

NPI: 1518871383
Provider Name (Legal Business Name): MISS XUAN MINH THI HANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 BECKER DR
LAWRENCE KS
66047-1620
US

IV. Provider business mailing address

2213 VAIL WAY
LAWRENCE KS
66047-2343
US

V. Phone/Fax

Practice location:
  • Phone: 620-805-2823
  • Fax:
Mailing address:
  • Phone: 620-805-2823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number3-117784
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: