Provider Demographics
NPI:1306232400
Name:NGUYEN, HUONG THUY (DO)
Entity Type:Individual
Prefix:DR
First Name:HUONG
Middle Name:THUY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N 7 HWY STE B
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2426
Mailing Address - Country:US
Mailing Address - Phone:816-229-8187
Mailing Address - Fax:816-229-0376
Practice Address - Street 1:725 N 7 HWY STE B
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2426
Practice Address - Country:US
Practice Address - Phone:816-229-8187
Practice Address - Fax:816-229-0376
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015018611390200000X
KS0541247207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program