Nguyen, Khanh Xong

Nguyen, Khanh Xong is an individual health care provider with primary practice located at 7455 Village Dr , Lino Lakes MN 55014-1181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nguyen, Khanh Xong can be contacted via phone (651) 717-3400.

Contact Information

Primary practice address
7455 Village Dr Lino Lakes MN 55014-1181
Phone: (651) 717-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OL60020645 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03645 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO155697 Oregon
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20A9302 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64306 Minnesota

Profile Details

NPI number 1841261088
LBN Legal business name Nguyen, Khanh Xong
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 11th, 2018 - about 7 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 1841261088 NPPES
Oregon MEDICAID 22959
Oregon MEDICAID 201215060
Oregon MEDICAID 7100270190

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