=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336193085
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | THUY KIM HUYNH MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/19/2006
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 438 HOBRON LN STE 315
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96815-1229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-256-9051
-----------------------------------------------------
Fax | 808-380-8847
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 438 HOBRON LN STE 315
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96815-1229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-256-9051
-----------------------------------------------------
Fax | 808-380-8847
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 11479
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------