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NPI Code Detail

MEDICARE: DR. KEVIN NGUYEN-KHOA DPM

MEDICARE:  DR. KEVIN  NGUYEN-KHOA  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristDP 1396TX

General Provider Information

NPI Number : 1215959556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN NGUYEN-KHOA DPM
Provider Business Mailing Address
First Line : 1327 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5868
Country : US
Telephone Number : 817-265-1595
Fax Number : 817-200-7991
Provider Business Practice Location Address
First Line : 1327 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5868
Country : US
Telephone Number : 817-265-1595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/18/2011

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Directions to “ DR. KEVIN NGUYEN-KHOA DPM” Practice Location

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