Nguyen, Kimberly T
Nguyen, Kimberly T is an individual health care provider with primary practice located at 3496 Club Dr , Lawrenceville GA 30044-3021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nguyen, Kimberly T can be contacted via phone (770) 248-9345.Contact Information
Primary practice address
3496 Club Dr
Lawrenceville GA 30044-3021
Phone: (770) 248-9345
Fax: (770) 797-9615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049928 | Georgia |
Profile Details
| NPI number | 1629192026 |
|---|---|
| LBN Legal business name | Nguyen, Kimberly T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 9th, 2023 - about 2 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 | 1629192026 | NPPES |
| Georgia | MEDICAID | 000908179B | |
| Georgia | Other | 837002 |
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