Individual provider · Type 1 NPI

Kellie Jo Nguyen, PA

Surgical Physician Assistant · Allentown, PA

NPI number 1114035532 Active

Practice location

1210 S Cedar Crest Blvd, Suite 1100
Allentown, PA 18103-6229

Call (610) 402-6555 Map

Fax (610) 402-6550

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA051654 (PA)
Surgical Physician Assistant Primary 363AS0400XMA051654 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1114035532

Kellie Jo Nguyen, PA's National Provider Identifier is 1114035532, issued on Aug 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Allentown, PA. The record was last updated on Jun 3, 2026.