person
Kanya Vanadurongvan, MD
General Practice Physician in Milbank, South Dakota
NPI 1760446603

Kanya Vanadurongvan is a General Practice Physician based in Wilmot, SD. Kanya Vanadurongvan practices in Milbank, SD and has the professional credentials of MD. The NPI Number for Kanya Vanadurongvan is 1760446603 and holds a License No. 2408 (South Dakota).

The current practice location address for Kanya Vanadurongvan is 803 E Milbank Ave, Milbank, SD and can be reached out via phone at 605-432-4587 and via fax at 605-432-4580. You can also correspond with Kanya Vanadurongvan through the mailing address at 13516 SODAK RD, WILMOT, SD - 57279-8211 (mailing address contact number: 605-938-4574).

Location: 803 E Milbank Ave, Milbank, SD, 57279-8211
person
Provider Profile Details
NPI Number
1760446603
Provider Name
Kanya Vanadurongvan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
803 E Milbank Ave, Milbank, SD, 57279-8211
Phone Number
605-432-4587
Fax Number
605-432-4580
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
299363500 05 MN
6700334 05 SD
institution
Provider Business Practice Location Address Details
Address
803 E Milbank Ave
City
State
Zip
57252-1413
Phone Number
605-432-4587
Fax Number
605-432-4580
person
Provider Business Mailing Address Details
Address
13516 Sodak Rd
City
State
Zip
57279-8211
Phone Number
605-938-4574
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2408 (South Dakota)
Definition
Definition to come...
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