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

Kim Anh Nguyen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1508393406

Kim Anh Nguyen, PHYSICIANASSISTANT is a Physician Assistant in Dover, Delaware. Qualified in 2017, 9 years ago. Practices with Cooper Urgent Care PC, a 57-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

640 S State St
Dover, DE 19901-3530
Phone: (302) 674-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA063283 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA005965 (PA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1508393406
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cooper Urgent Care Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dover