Individual provider · Type 1 NPI

Chanthavilay Phanthanouvong

Contractor · Honolulu, HI

NPI number 1366716177 Active

Practice location

1314 S King St
Honolulu, HI 96814-1956

Mailing address

47-505 Alawiki St
Kaneohe, HI 96744-4684

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1366716177

Chanthavilay Phanthanouvong's National Provider Identifier is 1366716177, issued on Feb 27, 2012. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Honolulu, HI. The record was last updated on Feb 27, 2012.