Individual
MS. KATHLEEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759-4211
(512) 342-7979
(512) 637-2596
Mailing address
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759-4211
(512) 342-7979
(512) 637-2596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17397
TX
363AM0700X
Medical Physician Assistant
Primary
PA17397
TX
Other
Enumeration date
05/09/2021
Last updated
05/05/2026
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