MEDICARE: DR. KIEN TRINH 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
1	208D00000X	General Practice Physician	252690	NY

General Provider Information

NPI Number	:	1932086634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIEN TRINH MD

Provider Business Mailing Address
First Line	:	615 MAIN ST UNIT 277
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14302-7010
Country	:	US
Telephone Number	:	716-534-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 ROUTE 5
Second Line	:
City	:	SILVER CREEK
State	:	NY
Zip	:	14136-9781
Country	:	US
Telephone Number	:	716-934-2035
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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