Individual
KIM ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 674-4700
Mailing address
5204 N HOWARD ST, PHILADELPHIA, PA 19120-3418
(757) 277-8870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063283
PA
363A00000X
Physician Assistant
OA005965
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/23/2017
Last updated
02/17/2022
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