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BOUNMANY KYLE KEOJAMPA MD NPI 1881953909


NPI Information

NPI: 1881953909
Provider Name: BOUNMANY KYLE KEOJAMPA, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
19925 STEVENS CREEK BLVD STE 100
CUPERTINO, CA
ZIP 95014
Phone: (415) 666-2525
Get Directions

BOUNMANY KYLE KEOJAMPA, MD is a facial plastic surgery otolaryngology in Cupertino, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. BOUNMANY KYLE KEOJAMPA, MD NPI is 1881953909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19925 STEVENS CREEK BLVD STE 100
CUPERTINO, CA
ZIP 95014-384
Phone: (415) 666-2525
Fax: (888) 857-4458

The provider's authorized official is Bounmany Kyle Keojampa .
The authorized official title is Physician/surgeon and has the following contact phone number (415) 666-2525.

The enumeration date for this NPI number is 5/9/2012 and was last updated on 3/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic Surgery134756CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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