Healthcare Provider Details

I. General information

NPI: 1740025956
Provider Name (Legal Business Name): HAOYU HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 ARMSTRONG AVE
KANSAS CITY KS
66101-2701
US

IV. Provider business mailing address

757 ARMSTRONG AVE
KANSAS CITY KS
66101-2701
US

V. Phone/Fax

Practice location:
  • Phone: 913-233-3300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number04708
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: