Nguyen, Kenneth Van

Nguyen, Kenneth Van is an individual health care provider with primary practice located at 448 E Wyoming Ave , Philadelphia PA 19120-4538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nguyen, Kenneth Van can be contacted via phone (215) 324-2180.

Contact Information

Primary practice address
448 E Wyoming Ave Philadelphia PA 19120-4538
Phone: (215) 324-2180
Fax: (215) 324-2182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 041413L Pennsylvania

Profile Details

NPI number 1568460103
LBN Legal business name Nguyen, Kenneth Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1568460103 NPPES
Pennsylvania MEDICAID 0012074910001

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