Individual
KEVIN PHI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2695
(814) 864-4031
Mailing address
4604 MEADOWVIEW DR APT 204, ERIE, PA 16509-8511
(408) 660-0407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT019526
PA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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