Vanadurongvan, Kanya

Vanadurongvan, Kanya is an individual health care provider with primary practice located at 803 E Milbank Ave , Milbank SD 57252-1413. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Vanadurongvan, Kanya can be contacted via phone (605) 432-4587.

Contact Information

Primary practice address
803 E Milbank Ave Milbank SD 57252-1413
Phone: (605) 432-4587
Fax: (605) 432-4580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2408 South Dakota

Profile Details

NPI number 1760446603
LBN Legal business name Vanadurongvan, Kanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - 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 1760446603 NPPES
Minnesota MEDICAID 299363500
Minnesota MEDICAID 6700334

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