DR. BOUNMANY KYLE KEOJAMPA M.D. NPI 1972778843

NPI Information

NPI: 1972778843
Provider Name: DR. BOUNMANY KYLE KEOJAMPA, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
4640 ADMIRALTY WAY
SUITE 718
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 823-4444
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DR. Bounmany Kyle Keojampa, M.D. is a facial plastic surgery otolaryngology in Marina Del Rey, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Bounmany Kyle Keojampa, M.D. NPI is 1972778843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4640 ADMIRALTY WAY
SUITE 718
MARINA DEL REY, CA
ZIP 90292-621
Phone: (310) 823-4444
Fax: (888) 857-4458

The NPI 1972778843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 7/2/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	242360	MASSACHUSETTS	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	134756	CALIFORNIA	Yes

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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