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NPI Code Detail

MEDICARE: DR. DANIEL D KIEU D.D.S.

MEDICARE: DR. DANIEL D KIEU D.D.S.
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
11223G0001XGeneral Practice Dentistry7199KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000116536OTHERKSBCBS OF KANSAS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3102885OTHERKSDORAL PROVIDER NUMBER

General Provider Information

NPI Number : 1124094214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL D KIEU D.D.S.
Provider Business Mailing Address
First Line : 4100 E CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67208-3820
Country : US
Telephone Number : 316-612-0270
Fax Number : 316-612-0353
Provider Business Practice Location Address
First Line : 4100 E CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67208-3820
Country : US
Telephone Number : 316-612-0270
Fax Number : 316-612-0353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/13/2012

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