Individual
DR. KENNETH TANTHANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
2811 S 102ND ST STE 220, TUKWILA, WA 98168-1869
(206) 320-4000
Mailing address
2811 S 102ND ST STE 220, TUKWILA, WA 98168-1869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10050257
TX
207Q00000X
Family Medicine Physician
Primary
OP61088631
WA
Other
Enumeration date
06/25/2014
Last updated
07/26/2024
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