Phong N Kieu, MD
Physical Medicine & Rehabilitation, Sports Medicine in Worcester, Massachusetts
1447419601- Practice location
- 123 Summer St Ste 320S, Worcester, MA 01608-1216
- Phone
- 508-964-5580
- Fax
- 508-368-3143
- Last updated
- May 22, 2024
Phong Nguyen Kieu is a Physical Medicine & Rehabilitation, Sports Medicine based in Worcester, MA. Phong Nguyen Kieu practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Phong Nguyen Kieu is 1447419601 and holds a License No. 254817 (MA). The current practice location address for Phong Nguyen Kieu is 123 Summer St Ste 320S, Worcester, MA 01608-1216 and can be reached out via phone at 508-964-5580 and via fax at 508-368-3143.
Provider Profile Details
- NPI Number
- 1447419601
- Provider Name
- Phong Nguyen Kieu
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 Summer St Ste 320S, Worcester, MA 01608-1216
- Phone Number
- 508-964-5580
- Fax Number
- 508-368-3143
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2008
- Last Update Date
- May 22, 2024
- Certification Date
- May 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Summer St Ste 320S
Worcester, MA 01608-1216 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608-1216
- Phone Number
- 508-964-5580
- Fax Number
- 508-368-3143
Provider Business Mailing Address Details
- Address
- 123 Summer St Ste 320S
Worcester, MA 01608-1216 - City
- Worcester
- State
- MA
- Zip
- 01608-1216
- Phone Number
- 508-964-5580
- Fax Number
- 508-368-3143
License Information
- License Number (1)
- 254817
- License State (1)
- MA
- Taxonomy (1)
- Physical Medicine & Rehabilitation · 208100000X
- License Number (2)
- 254817
- License State (2)
- MA
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Phong N Kieu, MD?
The NPI number of Phong N Kieu, MD is 1447419601. It was assigned on June 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Phong N Kieu, MD?
Phong N Kieu, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in MA under license number 254817.
Where does Phong N Kieu, MD practice?
The practice location is 123 Summer St Ste 320S, Worcester, MA 01608-1216. The office can be reached at 508-964-5580 (phone) or 508-368-3143 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447419601 directly on the NPPES registry website.