LOAN KIM PHAN

DERBY, KS
NPI1245503986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  53-75552-102)
Enumeration Date2012-02-10
Last Update Date2019-08-15
Business Address
MS. LOAN KIM PHAN APRN
1624 N ROCK RD
DERBY, KS 67037-3718
Phone number: 316-554-2126
Mailing Address
MS. LOAN KIM PHAN APRN
1624 N ROCK RD
DERBY, KS 67037-3718
Phone number: 316-554-2126
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