Provider Demographics
NPI:1215930086
Name:VO, BICH-THUY THI (DPM)
Entity type:Individual
Prefix:DR
First Name:BICH-THUY
Middle Name:THI
Last Name:VO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:THUY
Other - Middle Name:THI
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:STE B295
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-1764
Mailing Address - Country:US
Mailing Address - Phone:859-276-5349
Mailing Address - Fax:859-276-5340
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:STE B295
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1764
Practice Address - Country:US
Practice Address - Phone:859-276-5349
Practice Address - Fax:859-276-5340
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00252213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY800002520Medicaid
KY1325610001Medicare NSC
U77106Medicare UPIN
KY800002520Medicaid