Nguyen, Kathleen Thu

Nguyen, Kathleen Thu is an sole proprietor health care provider with primary practice located at 13275 W Colonial Dr , Winter Garden FL 34787-3984. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nguyen, Kathleen Thu can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
13275 W Colonial Dr Winter Garden FL 34787-3984
Fax: (407) 654-4582
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN18690 Florida

Profile Details

NPI number 1013143544
LBN Legal business name Nguyen, Kathleen Thu
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Oct 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013143544 NPPES
Florida MEDICAID 001132200

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