Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101226042 | VA |
NPI | 1679507719 |
---|---|
Provider Name | Dr. Huong Ngoc Thai-Kemprowski |
First Address | Leesburg, VA 20176-6839 |
Second Address | Leesburg, VA 20176-6839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I23374 | (02) | VA |