Individual
DR. KIM THIEN TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1633 MARTIN LUTHER KING JR BLVD, HOUMA, LA 70360-2897
(985) 851-6373
Mailing address
913 SYDNEY ST, NEW IBERIA, LA 70560-6225
(337) 255-4412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1860-794AT
LA
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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