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NPI Code Detail

MEDICARE: ROSALYNN KIM NGUYEN DO

MEDICARE:   ROSALYNN KIM NGUYEN  DO
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
1208600000XSurgery PhysicianOP61568448WA

General Provider Information

NPI Number : 1265992028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALYNN KIM NGUYEN DO
Provider Business Mailing Address
First Line : 1400 E KINCAID ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-4127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 328 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1660
Country : US
Telephone Number : 360-435-6097
Fax Number : 360-848-4565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 09/10/2024

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Directions to “ ROSALYNN KIM NGUYEN DO” Practice Location

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