Provider Demographics
NPI:1184215659
Name:TRAN, DUYEN KY (PA-C)
Entity Type:Individual
Prefix:
First Name:DUYEN
Middle Name:KY
Last Name:TRAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2901
Mailing Address - Country:US
Mailing Address - Phone:661-336-5300
Mailing Address - Fax:661-336-5303
Practice Address - Street 1:425 DEL SOL PKWY
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3442
Practice Address - Country:US
Practice Address - Phone:661-720-4011
Practice Address - Fax:661-720-4012
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA59249363AM0700X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical