Phong Nguyen Kieu
Sports Medicine
271 Park St
West Springfield
, Massachusetts 01089-3311
Phong Nguyen Kieu
Sports Medicine
271 Park St
West Springfield
, Massachusetts 01089-3311
(413) 785-1183
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Phong Nguyen Kieu
- 123 Summer St
- Worcester, MA
- Zip : 01608-1216
- Phone : (413) 785-1183
Second Address
- Phong Nguyen Kieu
- 271 Park St
- West Springfield, MA
- Zip : 01089-3311
- Phone : (413) 785-1183
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 254817 | MA |
| Y | 213ES0000X | Sports Medicine | 254817 | MA |
National Provider Identifier
| NPI | 1447419601 |
|---|---|
| Provider Name | Phong Nguyen Kieu |
| First Address | Worcester, MA 01608-1216 |
| Second Address | West Springfield, MA 01089-3311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2008 |
| Last Update Date | 20/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.