Ly, Bao-Khuyen Nguyen

Ly, Bao-Khuyen Nguyen is an individual health care provider with primary practice located at 13670 Walsingham Rd , Largo FL 33774-3532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ly, Bao-Khuyen Nguyen can be contacted via phone (727) 593-9848.

Contact Information

Primary practice address
13670 Walsingham Rd Largo FL 33774-3532
Phone: (727) 593-9848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9112468 Florida

Profile Details

NPI number 1972149672
LBN Legal business name Ly, Bao-Khuyen Nguyen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Apr 17th, 2023 - about 3 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 1972149672 NPPES
Florida MEDICAID 108286600

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