Provider Demographics
NPI:1902043680
Name:KHY-PRESTON, VANNY
Entity Type:Individual
Prefix:MRS
First Name:VANNY
Middle Name:
Last Name:KHY-PRESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16221 - 22ND DRIVE SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012
Mailing Address - Country:US
Mailing Address - Phone:425-339-5225
Mailing Address - Fax:425-339-5217
Practice Address - Street 1:16221 22ND DR SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-8029
Practice Address - Country:US
Practice Address - Phone:425-339-5225
Practice Address - Fax:425-339-5217
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker