Individual provider · Type 1 NPI

Cameron Keomanivong, MD

Student in an Organized Health Care Education/Training Program · Waco, TX

NPI number 1235076464 Active

Practice location

1600 Providence Dr
Waco, TX 76707-2261

Call (254) 313-4200 Map

Fax (254) 313-4383

Mailing address

2547 Russell Dr
Iowa City, IA 52240-5842

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235076464

Cameron Keomanivong, MD's National Provider Identifier is 1235076464, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waco, TX. The record was last updated on May 4, 2026.