Provider Demographics
NPI:1841591898
Name:TUYEN HUYNH KEMP DPM INC
Entity Type:Organization
Organization Name:TUYEN HUYNH KEMP DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TUYEN
Authorized Official - Middle Name:HUYNH
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:408-246-8840
Mailing Address - Street 1:905 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4812
Mailing Address - Country:US
Mailing Address - Phone:408-246-8840
Mailing Address - Fax:408-249-2806
Practice Address - Street 1:905 FREMONT ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4812
Practice Address - Country:US
Practice Address - Phone:408-246-8840
Practice Address - Fax:408-249-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4317213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1679583207OtherINDIVIDUAL/SOLE PROPRIETOR NPI
1679583207OtherINDIVIDUAL/SOLE PROPRIETOR NPI
000E43170Medicare PIN