| Kenny Kieu, | |
|
10412 Amy Way, Oklahoma City, OK 73162-6918 | |
| (405) 209-6225 | |
| Not Available |
| Full Name | Kenny Kieu |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 10412 Amy Way, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851002075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Entity Name | St. John Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny Kieu, 10412 Amy Way, Oklahoma City, OK 73162-6918 Ph: () - | Kenny Kieu, 10412 Amy Way, Oklahoma City, OK 73162-6918 Ph: (405) 209-6225 |
Parker Thomas Richardson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-9641 Fax: 405-235-0738 | |
Kleopatra Ruddock, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Nw Expressway, Oklahoma City, OK 73112 Phone: 405-951-2815 | |
Tryna Kathryn Blumer, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3300 Nw Expwy, Oklahoma City, OK 73112 Phone: 912-441-9254 | |
Cody Ryan Gaul, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-8000 Fax: 405-235-0738 | |
Mr. Ryan Nathan, AA-S Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5030 N May Ave, Oklahoma City, OK 73112 Phone: 405-951-2815 Fax: 405-951-2495 | |
Savannah Schae Scott, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Nw Expressway, Oklahoma City, OK 73112 Phone: 405-949-3011 | |
Kathy Luu, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-9641 Fax: 405-235-0738 |