Bounmany Kyle Keojampa in Marina Del Rey - Facial Plastic Surgery
Bounmany Kyle Keojampa - NPI 1972778843
Bounmany Kyle Keojampa is a Facial Plastic Surgery in Marina Del Rey, California. Bounmany Kyle Keojampa practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Bounmany Kyle Keojampa is 1972778843. The last update date is 2015-07-02.
Bounmany Kyle Keojampa's current location address is 4640 Admiralty Way, Marina Del Rey, California. You can contact this provider via phone number 3108234444 and fax number 8888574458. The mailing address for Bounmany Kyle Keojampa is 4640 Admiralty Way, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bounmany Kyle Keojampa |
|---|---|
| Address | 4640 Admiralty Way, Marina Del Rey, California |
| Phone Number | 3108234444 |
| Fax Number | 8888574458 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972778843 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2015-07-02 |
Provider Mailing Address Detail
| Address | 4640 Admiralty Way |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926621 |
| Phone Number | 3108234444 |
| Fax Number | 8888574458 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 242360 |
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Definition: An otolaryngologist who specializes in facial plastic surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bounmany Kyle Keojampa by the Centers for Medicare & Medicaid Services?
The Bounmany Kyle Keojampa has been issued the NPI (National Provider Identifier) 1972778843 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bounmany Kyle Keojampa's facilities are geographically located?
The facilities of Bounmany Kyle Keojampa are physically situated at the following location: 4640 Admiralty Way, Marina Del Rey, CA, 902926621.
What is the Bounmany Kyle Keojampa's specialty and taxonomy code?
The Bounmany Kyle Keojampa's specialty is Facial Plastic Surgery, and the corresponding taxonomy code is 207Ys0123X.
On what date did the Bounmany Kyle Keojampa receive its 1972778843 assignment from the Centers for Medicare & Medicaid Services?
The Bounmany Kyle Keojampa was assigned its 1972778843 by the Centers for Medicare & Medicaid Services on 2008-04-23.
As of what date was the information pertaining to Bounmany Kyle Keojampa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bounmany Kyle Keojampa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-02.