Individual
KIM HUYNH THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-5121
Mailing address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-5121
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
BP10061576
TX
208800000X
Urology Physician
Primary
MD211325
OR
Other
Enumeration date
09/30/2013
Last updated
08/13/2022
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