Provider Demographics
NPI:1134784028
Name:HSU, NINE-KENG MONICA (ND)
Entity type:Individual
Prefix:DR
First Name:NINE-KENG
Middle Name:MONICA
Last Name:HSU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 BUTTERMILK PIKE
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1310
Mailing Address - Country:US
Mailing Address - Phone:859-586-0111
Mailing Address - Fax:859-586-5109
Practice Address - Street 1:747 BUTTERMILK PIKE
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1310
Practice Address - Country:US
Practice Address - Phone:859-586-0111
Practice Address - Fax:859-586-5109
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X, 175F00000X
KYAC091171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No175F00000XOther Service ProvidersNaturopath