Individual provider · Type 1 NPI

Brittany Marie Kent Khotmanivong, AGACNP

Nurse Practitioner · Fort Sam Houston, TX

NPI number 1578031340 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN-2563 (HI)
Nurse Practitioner Primary 363L00000X1213161 (TX)
Acute Care Nurse Practitioner 363LA2100X32563 (TN)

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 1578031340

Brittany Marie Kent Khotmanivong, AGACNP's National Provider Identifier is 1578031340, issued on Nov 8, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 8, 2026.