Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 01059565A | IN |
Y | 2086S0105X | Surgery of the Hand | 36097 | KY |
NPI | 1740274018 |
---|---|
Provider Name | Huey Yuan Tien |
First Address | Louisville, KY 40201-7441 |
Second Address | Louisville, KY 40202-1846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 28/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200521910 | (05) | IN |
64092315 | (05) | KY |
I11393 | (02) | KY |