Provider Demographics
NPI:1881228005
Name:NGUYEN, KRISTY TRAN (MS, LGC)
Entity Type:Individual
Prefix:MS
First Name:KRISTY
Middle Name:TRAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MS, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5969 E BROAD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6526
Mailing Address - Country:US
Mailing Address - Phone:614-234-7292
Mailing Address - Fax:614-234-7671
Practice Address - Street 1:5969 E BROAD ST STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-6526
Practice Address - Country:US
Practice Address - Phone:614-234-7292
Practice Address - Fax:614-234-7671
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000440170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS