Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Khamkongsay

Individual provider Nurse Practitioner · NPI 1245828672

Kelly Khamkongsay is a Nurse Practitioner in Panorama City, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

9064 Van Nuys Blvd
Panorama City, CA 91402-1813
Phone: (818) 352-8333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95015584 (CA)

Record details

NPI number1245828672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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