Individual
KIM-UYEN TRAN-THE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
175 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 361-8299
Mailing address
175 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 361-8299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019869
KY
183500000X
Pharmacist
RPH030874
GA
2255A2300X
Athletic Trainer
019869
KY
Other
Enumeration date
10/25/2020
Last updated
11/02/2020
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