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Organization

DR KIM ANH NGUYEN LLC

Active
Other names
Dr. Kim Nguyen, DO
Organization subpart
No

Provider details

NPI number
Authorized official
KIM ANH NGUYEN DO (MEDICAL DIRECTOR/OWNER)
(702) 763-2002
Entity
Organization

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700030954
NV
05
1871164855
NV
01
DO2258
MEDICAL LICENSE
NV
Enumeration date
07/09/2021
Last updated
03/28/2023
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