Healthcare Provider Details

I. General information

NPI: 1073065934
Provider Name (Legal Business Name): SOTEAR KUY MPH, RDN/LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 02/18/2024
Certification Date: 02/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N CAPITAL OF TEXAS HWY APT 733
AUSTIN TX
78746-1130
US

IV. Provider business mailing address

805 RAYEED AVE
RICHARDSON TX
75081-5195
US

V. Phone/Fax

Practice location:
  • Phone: 214-714-7389
  • Fax:
Mailing address:
  • Phone: 214-714-7389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT83303
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: