Nguyen, Kenny

Nguyen, Kenny is an individual health care provider with primary practice located at 500 E Central Ave , Winter Haven FL 33880-3053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nguyen, Kenny can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
500 E Central Ave Winter Haven FL 33880-3053
Phone: (863) 293-1191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME99405 Florida

Profile Details

NPI number 1659583854
LBN Legal business name Nguyen, Kenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Oct 15th, 2014 - about 12 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 1659583854 NPPES
Florida MEDICAID 279152800

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