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Individual

DR. KHANG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(513) 258-1727
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(513) 258-1727

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010125622
VA

Other

Enumeration date
07/19/2012
Last updated
02/15/2023
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