# KIM NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003536749
- **Gender:** F
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 009630 | NY | — |
| 152W00000X | Optometrist | 2012-958AT | LA | Yes |
| 152W00000X | Optometrist | S-F05-TA-C64 | AL | — |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 01/17/2025