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Individual

KIM ANH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5920 S RAINBOW BLVD STE 5, LAS VEGAS, NV 89118-4209
(702) 763-2002
(877) 414-2638
Mailing address
5920 S RAINBOW BLVD STE 5, LAS VEGAS, NV 89118-4209
(702) 763-2002
(877) 414-2638

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO2258
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14700030954
NV
05
1871164855
NV
01
DO2258
MEDICAL LICENSE
NV
Enumeration date
11/13/2008
Last updated
03/28/2023
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