Provider Demographics
NPI:1740976281
Name:HUYNH, CAT THY HA (MD)
Entity type:Individual
Prefix:
First Name:CAT THY
Middle Name:HA
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THY
Other - Middle Name:HA
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4207 KITSAP WAY
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-2447
Mailing Address - Country:US
Mailing Address - Phone:360-415-1080
Mailing Address - Fax:360-415-1099
Practice Address - Street 1:4207 KITSAP WAY
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-2447
Practice Address - Country:US
Practice Address - Phone:360-415-1080
Practice Address - Fax:360-415-1099
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML61426848390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program