Individual
DR. KIM-LONG RICHARD NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2022038745
MO
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
94031
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071821
—
MO
05
—
2094031
—
SC
Enumeration date
06/25/2019
Last updated
07/25/2025
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