Sid Christian Keomanivong
Sid Christian Keomanivong is a Primary Care Nurse Practitioner in Central Point, Oregon. Licensed in Oregon. Registered with an NPI since 2018.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
2677 Beall LnCentral Point, OR 97502-1462
Phone: (702) 343-0466
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 201806379NP-PP (OR) |
|---|
Record details
| NPI number | 1760960462 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 3, 2018 |
| Last updated in NPPES | October 8, 2019 |
| Mailing address | 3344 Winterhaven St, Unit 101, Las Vegas, NV 89108-5064 |
Other providers in Central Point
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Mrs. Monique Anntoinette Noyes, FNPNP-PP
101 Twin Creeks Xing Apt A, Central Point, OR 97502-8666 · (541) 630-0225