Dr. Bounmany Kyle Keojampa
Facial Plastic Surgeon
4640 Admiralty Way Suite 718
Marina del Rey
, California 90292-6621
Dr. Bounmany Kyle Keojampa
Facial Plastic Surgeon
4640 Admiralty Way Suite 718
Marina del Rey
, California 90292-6621
(888) 857-4458
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bounmany Kyle Keojampa
- 4640 Admiralty Way Suite 718
- Marina Del Rey, CA
- Zip : 90292-6621
- Fax : (888) 857-4458
- Phone : (310) 823-4444
Second Address
- Dr. Bounmany Kyle Keojampa
- 4640 Admiralty Way Suite 718
- Marina Del Rey, CA
- Zip : 90292-6621
- Fax : (888) 857-4458
- Phone : (310) 823-4444
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FAQs
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Is Dr. Bounmany Kyle Keojampa a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 134756 | CA |
| N | 207YS0123X | Facial Plastic Surgeon | 242360 | MA |
National Provider Identifier
| NPI | 1972778843 |
|---|---|
| Provider Name | Dr. Bounmany Kyle Keojampa |
| First Address | Marina Del Rey, CA 90292-6621 |
| Second Address | Marina Del Rey, CA 90292-6621 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2008 |
| Last Update Date | 02/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.