Kevin Khang Pham
Student in an Organized Health Care Education/Training Program in Leesburg, VA. Individual provider (NPI-1).
NPI number1669166310
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1669166310
- Entity type
- Individual (NPI-1)
- Name
- Kevin Khang Pham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
42205 Panorama PlLeesburg, VA 20176-5492
Phone 571-420-1767
Mailing address
42205 Panorama PlLeesburg, VA 20176-5492
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All 9 Student in an Organized Health Care Education/Training Program providers in Leesburg · All 2,386 providers in Leesburg
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