Individual
KHANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12447 S SANDRA AVE, YUMA, AZ 85367-6020
(912) 247-6251
Mailing address
12447 S SANDRA AVE, YUMA, AZ 85367-6020
(912) 247-6251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7292
AZ
Other
Enumeration date
12/12/2017
Last updated
12/31/2025
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