Provider Demographics
NPI:1609935147
Name:HUYNH, CUONG (DC)
Entity Type:Individual
Prefix:DR
First Name:CUONG
Middle Name:
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3258
Mailing Address - Country:US
Mailing Address - Phone:860-801-1236
Mailing Address - Fax:
Practice Address - Street 1:1601 N RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3258
Practice Address - Country:US
Practice Address - Phone:860-801-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor