Kenneth K. Tieu, M.D.

Surgery Physician · Melbourne, FL

Individual Active NPI

NPI number 1902122781

Practice location

8725 N Wickham Rd
Melbourne, FL 32940-2239

Phone: (321) 434-9230
Fax: (321) 434-9269

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NPI record

NPI: 1902122781
Entity type: Individual (Type 1)
Enumeration date: April 19, 2010
Last updated: December 5, 2024
Certified: December 5, 2024
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Surgery Physician Primary	`208600000X`	ME114362	FL

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Phone: (321) 434-9230

Other practice locations (2)

1223 Gateway Dr Ste 2B, Melbourne, FL 32901-2607 · (321) 434-9230
1810 Eldron Blvd SE, Palm Bay, FL 32909-6831 · (321) 434-9230

About Dr. Tieu

Kenneth K. Tieu, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 8725 N Wickham Rd, Melbourne, FL 32940-2239. The NPI number 1902122781 was assigned on April 19, 2010 and the record was last updated on December 5, 2024.

Dr. Tieu lists a license in the registry: #ME114362 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth K. Tieu, M.D.?

The NPI number is 1902122781.

What is the phone number of Dr. Tieu?

The phone number listed for the practice location is (321) 434-9230.

Where is Dr. Tieu located?

8725 N Wickham Rd, Melbourne, FL 32940-2239.

What is the taxonomy code for Dr. Tieu?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgery Physician providers in Melbourne

Nathan D. Allison, M.D.8725 N Wickham Rd
Jashbhai K. Patel, M.D.1223 Gateway Dr
Mark Raymond Hanley, M.D.1305 Valentine St
Yvonne Denise Zabala, D.O.1350 S Hickory St
Crescent Wound Care PLLC765 W Nasa Blvd
Emran Riaz Imami, M.D.1140 Broadband Dr
Talbert General Surgery LLC129 W Hibiscus Blvd Ste D
John Garnier Olinde, MD240 N Wickham Rd Ste 311
Mark Shane Talbert, MD1223 Gateway Dr
Patrick W. Domkowski, MD2222 S Harbor City Blvd Ste 430
Paul Appleby, M.D.2222 S Harbor City Blvd Ste 430
Crane Creek Surgical Partners Management LLC2222 S Harbor City Blvd

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