Individual
KIM UYEN THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INDEPENDENT DUTY HS
Contact information
Practice address
600 DR MARTIN LUTHER KING PL, LOUISVILLE, KY 40202-2239
(502) 779-5427
(502) 779-5404
Mailing address
1022 CLAYBORNE RD, LOUISVILLE, KY 40214-4661
(757) 971-0667
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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