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Individual

KIM-DUNG T NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5130 DUKE ST, 8, ALEXANDRIA, VA 22304-2924
(703) 823-2849
(703) 823-2847
Mailing address
PO BOX 11193, ALEXANDRIA, VA 22312-0193
(703) 823-2849
(703) 823-2847

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101226147
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031903700
DC
05
5849543
VA
Enumeration date
06/22/2006
Last updated
10/31/2011
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