Individual
DR. KIMBERLY HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1311 SOUTH ST, PHILADELPHIA, PA 19147-1867
(215) 471-0433
(215) 471-0430
Mailing address
1311 SOUTH ST, PHILADELPHIA, PA 19147-1867
(215) 471-0433
(215) 471-0430
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006424
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033277130001
—
PA
Enumeration date
07/12/2010
Last updated
01/07/2020
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