Individual
KIM N HULTS NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11 NEVINS ST STE 201, BRIGHTON, MA 02135-3514
(617) 789-2442
(617) 202-4349
Mailing address
40 TRAVELER ST APT 204, BOSTON, MA 02118-2980
(857) 294-2023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7424
MA
363AS0400X
Surgical Physician Assistant
PA7424
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/04/2020
Last updated
08/01/2024
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