Individual
KIM THIEN NGUYEN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
200 S HERLONG AVE, SUITE A, ROCK HILL, SC 29732-3399
(803) 328-1864
(803) 328-1865
Mailing address
1330 BOILING SPRINGS RD, STE 1400, SPARTANBURG, SC 29303-4205
(864) 278-1442
(864) 278-1255
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
10936
NC
231H00000X
Audiologist
Primary
3981
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1510229
AETNA/COVENTRY
—
01
—
19ABJ
BCBSNC
NC
01
—
7501035
CIGNA
—
01
—
P01479711
RAILROAD MEDICARE SC
SC
05
—
SA1517
—
SC
Enumeration date
07/15/2011
Last updated
05/24/2017
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