KENNY NGUYEN MD
NPI 1558058529
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 20, 2023PECOS Enrolled
655 W 8TH ST # C90, JACKSONVILLE, FL 32209(904) 244-4230 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenny Nguyen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY NGUYEN MD (NPI 1558058529) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558058529
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNY NGUYENCredential: MD
Location Address655 W 8TH ST # C90Jacksonville, FL 32209-6511
Mailing Address145 Sunset Ct Ste 100West Columbia, SC 29169-2429 · (803) 739-3550
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateMarch 23, 2024
NPPES CertifiedMarch 23, 2024
NPI 1558058529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 W 8TH ST # C90, Jacksonville, FL 32209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenny Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
655 W 8TH ST # C90, CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
655 W 8TH ST # C90
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
655 W 8TH ST # C90
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C90
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
655 W 8TH ST # C90
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
655 W 8TH ST # C90, CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C90
JACKSONVILLE, FL 32209
Radiology (Vascular & Interventional Radiology)
655 W 8TH ST # C90
JACKSONVILLE, FL 32209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Nguyen's NPI number?

The NPI number for Kenny Nguyen is 1558058529. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Kenny Nguyen located?

Kenny Nguyen practices at 655 W 8th St # C90, Jacksonville, FL 32209. The listed phone number is (904) 244-4230.

What is Kenny Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenny Nguyen enrolled in Medicare?

Yes. Kenny Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Nguyen was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.