Individual
DR. KENNY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3053
(863) 293-1191
Mailing address
325 1ST ST N, WINTER HAVEN, FL 33881-4111
(863) 293-1191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME99405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279152800
—
FL
Enumeration date
05/03/2007
Last updated
09/17/2025
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