Provider Demographics
NPI:1073065934
Name:KUY, SOTEAR (MPH, RDN/LD)
Entity Type:Individual
Prefix:
First Name:SOTEAR
Middle Name:
Last Name:KUY
Suffix:
Gender:F
Credentials:MPH, RDN/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 RAYEED AVE
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5195
Mailing Address - Country:US
Mailing Address - Phone:214-714-7389
Mailing Address - Fax:
Practice Address - Street 1:4700 N CAPITAL OF TEXAS HWY APT 733
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1130
Practice Address - Country:US
Practice Address - Phone:214-714-7389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83303133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered