Provider Demographics
NPI:1801173901
Name:TRUONG, KIM-THUY T (MD)
Entity type:Individual
Prefix:DR
First Name:KIM-THUY
Middle Name:T
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:MS 315010
Mailing Address - Street 2:PO BOX 3947
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3947
Mailing Address - Country:US
Mailing Address - Phone:425-467-3655
Mailing Address - Fax:425-635-6388
Practice Address - Street 1:1231 116TH AVENUE NE
Practice Address - Street 2:SUITE 400
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-454-2671
Practice Address - Fax:425-990-5260
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA118637207R00000X
WAMD60639206207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine