Provider Demographics
NPI:1912917477
Name:NGUYEN, KATHY NHUNG-THI (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:NHUNG-THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 WESTBANK EXPY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2671
Mailing Address - Country:US
Mailing Address - Phone:504-349-8009
Mailing Address - Fax:504-349-8018
Practice Address - Street 1:3715 WESTBANK EXPY
Practice Address - Street 2:SUITE B
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2671
Practice Address - Country:US
Practice Address - Phone:504-349-8009
Practice Address - Fax:504-349-8018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H523CQ99Medicare PIN