Individual
DR. KIM CHI T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
897 IRONWOOD DR, MINDEN, NV 89423-5198
(775) 782-1610
Mailing address
897 IRONWOOD DR, MINDEN, NV 89423-5198
(775) 782-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17463
NV
207Q00000X
Family Medicine Physician
MD-9597
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002470-02
—
HI
01
—
00C0212005
HMSA BILLING NUMBER
HI
05
—
1215081849
—
NV
01
—
V53036
MEDICARE
NV
Enumeration date
01/22/2007
Last updated
02/17/2021
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