Keojampa, Bounmany Kyle

Keojampa, Bounmany Kyle is an individual health care provider with primary practice located at 4640 Admiralty Way Suite 718, Marina Del Rey CA 90292-6621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Keojampa, Bounmany Kyle can be contacted via phone (310) 823-4444.

Contact Information

Primary practice address
4640 Admiralty Way Suite 718 Marina Del Rey CA 90292-6621
Phone: (310) 823-4444
Fax: (888) 857-4458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 242360 Massachusetts
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 134756 California

Profile Details

NPI number 1972778843
LBN Legal business name Keojampa, Bounmany Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Jul 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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