Thai, Kimoanh

Thai, Kimoanh is an individual health care provider with primary practice located at 14929 Shady Grove Rd Unit K , Rockville MD 20850-7728. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Thai, Kimoanh can be contacted via phone (301) 424-1050.

Contact Information

Primary practice address
14929 Shady Grove Rd Unit K Rockville MD 20850-7728
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1229 Maryland

Profile Details

NPI number 1992776926
LBN Legal business name Thai, Kimoanh
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated May 1st, 2024 - about 2 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 1992776926 NPPES
Maryland Other 491885 PROVIDER NUMBER

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