Individual provider · Type 1 NPI

Kobe Keo Liftee Thammavongsa

Registered Nurse · Anchorage, AK

NPI number 1073122065 Active

Practice location

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X159972 (AK)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073122065

Kobe Keo Liftee Thammavongsa's National Provider Identifier is 1073122065, issued on Jul 27, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Anchorage, AK. The record was last updated on Jul 27, 2020.