Provider Demographics
NPI:1831349307
Name:NGUYEN, KIEN DUC (PHD, DABNM, FASNM)
Entity type:Individual
Prefix:DR
First Name:KIEN
Middle Name:DUC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHD, DABNM, FASNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7465 RIO MONDEGO DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-4642
Mailing Address - Country:US
Mailing Address - Phone:916-799-9987
Mailing Address - Fax:
Practice Address - Street 1:7465 RIO MONDEGO DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-4642
Practice Address - Country:US
Practice Address - Phone:916-799-9987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist