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

Individual provider Occupational Therapy Assistant · NPI 1730507492

Wilson Keungkhamphong, COTA is an Occupational Therapy Assistant in Shawnee, Kansas. Licensed in Kansas. Registered with an NPI since 2014.

Licensed in
KS
In the registry since
2014
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

21513 W 50th St
Shawnee, KS 66226-9793
Phone: (913) 207-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 18-01030 (KS)

Record details

NPI number1730507492
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 31, 2014

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