NPI 1295360055

Kiran Kumar Gurung, DENTALHYGIENIST

Practitioner Dental Hygienist Fpo, AE

Practice location

Address: Uss Bataan (lhd-5), Fpo, AE 09554-1657
Phone: (757) 444-2658
Mailing address: 4701 Jeanne St APT 103, Virginia Beach, VA 23462-2851

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH27371 (FL)

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Registry record

NPI: 1295360055
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2020
Record last updated: 11 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.