Kieu, Daniel D

Kieu, Daniel D is an individual health care provider with primary practice located at 4100 E Central Ave , Wichita KS 67208-3820. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kieu, Daniel D can be contacted via phone (316) 612-0270.

Contact Information

Primary practice address
4100 E Central Ave Wichita KS 67208-3820
Phone: (316) 612-0270
Fax: (316) 612-0353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7199 Kansas

Profile Details

NPI number 1124094214
LBN Legal business name Kieu, Daniel D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124094214 NPPES
Kansas Other 0000116536 BCBS OF KANSAS
Kansas MEDICAID 100359900A BCBS OF KANSAS
Kansas Other 102885 BCBS OF KANSAS

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