Individual
KIM KHANH THI NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
615 1ST ST N, ALABASTER, AL 35007-8892
(205) 624-2100
Mailing address
718 RYEFIELD CT., MONTGOMERY, AL 36117
(334) 354-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
09/07/2023
Last updated
01/18/2024
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