Proud, Kieu Phuong

Proud, Kieu Phuong is an individual health care provider with primary practice located at 830 University Ave , Berkeley CA 94710-2044. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Nursing Service Providers / Registered Nurse is her primary health care specialty. Proud, Kieu Phuong can be contacted via phone (510) 981-5333.

Contact Information

Primary practice address
830 University Ave Berkeley CA 94710-2044
Phone: (510) 981-5333
Fax: (510) 981-5345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN603923 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 16403 California

Profile Details

NPI number 1154506590
LBN Legal business name Proud, Kieu Phuong
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Nov 4th, 2013 - about 13 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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