Provider Demographics
NPI:1174640502
Name:HUYNH, KATHERINE J (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:J
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1412-22 FAIRMOUNT AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130
Mailing Address - Country:US
Mailing Address - Phone:215-684-5344
Mailing Address - Fax:215-232-4093
Practice Address - Street 1:820 W THOMPSON STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122
Practice Address - Country:US
Practice Address - Phone:215-827-2010
Practice Address - Fax:215-232-1037
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051539363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant