Individual
KAYLA TRAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7200 MINNETONKA BLVD, ST LOUIS PARK, MN 55426-3210
(952) 925-4847
(952) 925-4211
Mailing address
4405 HIGHWAY 7, #J, MINNEAPOLIS, MN 55416-4068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4901
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350003833
MEDICARE ID
MN
Enumeration date
01/30/2007
Last updated
04/11/2011
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