Dr. Khoua Alex Vang
Nurse Practitioner in Winston Salem, NC. Individual provider (NPI-1).
NPI number1841908407
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1841908407
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khoua Alex Vang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2022
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5017254 | NC | Yes |
| 363LF0000X | Nurse Practitioner, Family | VANG-XFMC3 | NC |
Practice location
3333 Silas Creek PkwyWinston Salem, NC 27103-3013
Phone 336-718-7224 · Fax 336-718-7598
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Phone 336-718-7224 · Fax 336-718-7598
Other practice locations
152 E Kinderton Way Ste 101
Bermuda Run, NC 27006-7351
Bermuda Run, NC 27006-7351
Phone 336-893-3190 · Fax 336-893-3189
190 Kimel Park Dr # 155
Winston Salem, NC 27103-6946
Winston Salem, NC 27103-6946
Phone 336-765-6637 · Fax 336-765-6964
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