MEDICARE: KIM-ANH T. VU M.D.

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
1	207Q00000X	Family Medicine Physician	35081958	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000571106	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841270956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM-ANH T. VU M.D.

Provider Business Mailing Address
First Line	:	401 E 20TH ST
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41014-1583
Country	:	US
Telephone Number	:	859-655-7171
Fax Number	:	859-655-6742

Provider Business Practice Location Address
First Line	:	140 PLAZA DR
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-0000
Country	:	US
Telephone Number	:	859-442-1500
Fax Number	:	859-442-1501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	04/09/2009

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