Provider Demographics
NPI:1336193085
Name:HUYNH, THUY KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:KIM
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:520 LUNALILO HOME RD
Mailing Address - Street 2:#250
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1700
Mailing Address - Country:US
Mailing Address - Phone:808-256-9051
Mailing Address - Fax:808-947-2205
Practice Address - Street 1:438 HOBRON LN
Practice Address - Street 2:#315
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1291
Practice Address - Country:US
Practice Address - Phone:808-256-9051
Practice Address - Fax:808-947-2205
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2010-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI114792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI528896Medicaid
HIH100900Medicare PIN
H31867Medicare UPIN