Provider Demographics
NPI:1679583207
Name:KEMP, TUYEN HUYNH (DPM)
Entity type:Individual
Prefix:DR
First Name:TUYEN
Middle Name:HUYNH
Last Name:KEMP
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4812
Mailing Address - Country:US
Mailing Address - Phone:408-246-8840
Mailing Address - Fax:408-249-2806
Practice Address - Street 1:905 FREMONT ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4812
Practice Address - Country:US
Practice Address - Phone:408-246-8840
Practice Address - Fax:408-249-2806
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4317213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4331400002Medicare NSC