Individual
MARY M NGUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 451-5092
Mailing address
305 LANGDON ST, SOMERSET, KY 42503-2750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05312
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
10/27/2023
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