Nguyen, Khiem

Nguyen, Khiem is an sole proprietor health care provider with primary practice located at 1822 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nguyen, Khiem can be contacted via phone (772) 337-2001.

Contact Information

Primary practice address
1822 Se Port St Lucie Blvd Port St Lucie FL 34952-5545
Phone: (772) 337-2001
Fax: (772) 398-7030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD068281L Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME101782 Florida

Profile Details

NPI number 1316922511
LBN Legal business name Nguyen, Khiem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Nov 4th, 2014 - about 10 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 1316922511 NPPES
Florida MEDICAID 000347800

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