Individual
KATHY KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 227-2586
Mailing address
8522 CENTRAL PARK AVE, SKOKIE, IL 60076-2302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011823
IL
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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