Individual
KIMBERLY H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130
(651) 254-8290
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-8590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10590
MN
Other
Enumeration date
07/06/2009
Last updated
04/01/2019
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