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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568460103 | NPPES |
Pennsylvania | MEDICAID | 0012074910001 |
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