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NPI Code Detail

MEDICARE: THUAN NGUYEN MD

MEDICARE: THUAN NGUYEN MD
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
1208200000XPlastic Surgery Physician143732CA
2208200000XPlastic Surgery Physician04-39175KS

General Provider Information

NPI Number : 1568773372
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUAN NGUYEN MD
Provider Business Mailing Address
First Line : 901 E 104TH ST
Second Line : MAILSTOP 400
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 816-502-8755
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 4320 WORNALL RD STE 530
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5942
Country : US
Telephone Number : 816-932-0288
Fax Number : 816-932-9868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 11/28/2017

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Directions to “ THUAN NGUYEN MD” Practice Location

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