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Contact Information

THANH N TRUONG, DO
7111 E 21ST STREET N
SUITE A
WICHITA, KS67206
 Phone: 316-684-2851
 Fax: 316-686-7338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THANH N TRUONG · (Male)

NPI # 1225009616
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/01/2006
Last updated 10/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 05-21960
  • KS Medicaid 100230970D
  • KS Medicaid 100416440A
  • KS Medicaid 607840
  • KS Other 103153 BLUE CROSS
  • KS Other RAILROAD MEDICARE P00057329
Hospital affiliation(s)
  • WESLEY MEDICAL CENTER - (Acute Care)
    550 N HILLSIDE STREET
    WICHITA, KS 67214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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