Provider Demographics
NPI:1548026651
Name:HUNG, HSUAN-MIN (OTR)
Entity type:Individual
Prefix:
First Name:HSUAN-MIN
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:VICKY
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:102 E 28TH TER APT 1
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3343
Mailing Address - Country:US
Mailing Address - Phone:310-498-4667
Mailing Address - Fax:
Practice Address - Street 1:2301 SOUTH MO 291 HIGHWAY
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057
Practice Address - Country:US
Practice Address - Phone:816-373-9328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO225X00000X225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist