Individual provider · Type 1 NPI

Kelly Khamkongsay

Nurse Practitioner · Panorama City, CA

NPI number 1245828672 Active

Practice location

9064 Van Nuys Blvd
Panorama City, CA 91402-1813

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95015584 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245828672

Kelly Khamkongsay's National Provider Identifier is 1245828672, issued on Dec 31, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Panorama City, CA. The record was last updated on Dec 31, 2020.