Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kieu Thy Duong

Individual provider Physician Assistant · NPI 1407588296

Kieu Thy Duong is a Physician Assistant in Memphis, Tennessee. Qualified in 2023, 3 years ago. Practices with California Dermatology Institute PC, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

4272 Timber Jump Cv
Memphis, TN 38141-7353
Phone: (901) 550-3414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407588296
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address4272 Timber Jump Cv, Memphis, TN 38141-7353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Dermatology Institute Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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