National Provider Identifier

Ngoc Thai Kieu

Ngoc Thai Kieu is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 862-1423.

NPI 1790524387Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1790524387
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 22, 2024
Last Updated
February 04, 2025

Practice Location

  • 2157 Main St
  • Buffalo, NY 14214

Phone: (716) 862-1423

Mailing Address

  • 6 Affinity Ln, Apt 249C
  • Buffalo, NY 14215

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1790524387
Entity Type
Individual
Last Name
Kieu
First Name
Ngoc Thai
Mailing Street Address
6 Affinity Ln, Apt 249C
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215
Mailing Country
US
Mailing Phone
(928) 458-8070
Practice Street Address
2157 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214
Practice Country
US
Practice Phone
(716) 862-1423
Practice Fax
(716) 862-1871
Enumeration Date
May 22, 2024
Last Updated
February 04, 2025
Deactivation Date
January 14, 2025
Reactivation Date
February 04, 2025
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)