Individual
KELLY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-8000
(860) 972-5022
Mailing address
505 PARNASSUS AVE., SUITE M917, HARTFORD HOSPITAL SURGERY DEPT, SAN FRANCISCO, CA 94143
(415) 353-1116
(415) 353-1990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4479
CT
363A00000X
Physician Assistant
Primary
PA62923
CA
363AM0700X
Medical Physician Assistant
4479
CT
363AS0400X
Surgical Physician Assistant
4479
CT
Other
Enumeration date
04/09/2019
Last updated
02/07/2024
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