IndividualActive
Phong Kieu, MD
NPI 1447419601 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Worcester, MA
Provider details
- NPI number
- 1447419601
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 254817 (MA)
Practice location
123 Summer St Ste 320s
Worcester, MA 01608-1216
Phone: (508) 964-5580
Fax: (508) 368-3143
Mailing address
123 Summer St Ste 320s
Worcester, MA 01608-1216
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.