Provider Demographics
NPI:1225358302
Name:HUYNH, KEVIN VINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:VINH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 WEILAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3905
Mailing Address - Country:US
Mailing Address - Phone:585-402-6593
Mailing Address - Fax:
Practice Address - Street 1:4133 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1253
Practice Address - Country:US
Practice Address - Phone:585-345-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist