Provider Demographics
NPI:1043453442
Name:NGUYEN, KHUYEN-DI (ND)
Entity Type:Individual
Prefix:DR
First Name:KHUYEN-DI
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:YE
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:1600 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1427
Mailing Address - Country:US
Mailing Address - Phone:808-388-7207
Mailing Address - Fax:
Practice Address - Street 1:1600 ALA MOANA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1427
Practice Address - Country:US
Practice Address - Phone:808-388-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI158175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath