Provider Demographics
NPI:1669792701
Name:LE, THUY DUONG THI (DPM)
Entity type:Individual
Prefix:
First Name:THUY DUONG
Middle Name:THI
Last Name:LE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10049 KITSAP MALL BLVD NW STE 109
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8901
Mailing Address - Country:US
Mailing Address - Phone:360-698-2505
Mailing Address - Fax:360-698-2514
Practice Address - Street 1:10049 KITSAP MALL BLVD NW STE 109
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8901
Practice Address - Country:US
Practice Address - Phone:360-698-2505
Practice Address - Fax:360-698-2514
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO60499166213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery