Provider Demographics
NPI:1174752844
Name:NGUYEN, KAI HOANG (DC)
Entity type:Individual
Prefix:DR
First Name:KAI
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 H ST NE # 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3742
Mailing Address - Country:US
Mailing Address - Phone:202-550-5187
Mailing Address - Fax:
Practice Address - Street 1:7300 GRACE DR STE 1A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2473
Practice Address - Country:US
Practice Address - Phone:443-312-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556707111N00000X
MDS03719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor