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Individual

DR. NGUYEN KY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(408) 499-5888
Mailing address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(408) 292-2485
(408) 292-3330

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
E4689
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4689
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E46890
CA
Enumeration date
08/31/2006
Last updated
08/26/2017
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