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NPI Code Detail

MEDICARE: DANIEL D KIEU DDS PA

MEDICARE: DANIEL D KIEU DDS PA
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
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194070326
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL D KIEU DDS PA
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 : PRESIDENT
Name : DANIEL D KIEU
Credential : DDS
Telephone Number : 316-612-0270
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/13/2012

Similar Medicare Providers

1124094214 — DR. DANIEL D KIEU D.D.S.
Practice Location Address:
4100 E CENTRAL AVE
WICHITA, KS
67208-3820
Practice Phone: 316-612-0270
Practice Fax: 316-612-0353
1861807323 — STACY WHITE LAC
Practice Location Address:
3820 N TOBEN ST
WICHITA, KS
67226-2903
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1205597416 — CARLA JO WADE LCAC,LMLP
Practice Location Address:
3820 N TOBEN ST
WICHITA, KS
67226-2903
Practice Phone: 316-634-3954
Practice Fax: 316-634-3956
1023792553 — TEFFANY ROBERTS
Practice Location Address:
3820 N TOBEN ST
WICHITA, KS
67226-2903
Practice Phone: 316-634-3954
Practice Fax: 316-634-3956
1033947254 — SHAUNA THOMAS LMSW
Practice Location Address:
3820 N TOBEN ST
WICHITA, KS
67226-2903
Practice Phone: 316-634-3954
Practice Fax:
1043041783 — ELISABETH HANSON LMSW
Practice Location Address:
3820 N TOBEN ST
WICHITA, KS
67226-2903
Practice Phone: 316-634-3954
Practice Fax:

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