Khousakoun, Somphanh Tynoi
Khousakoun, Somphanh Tynoi is an individual health care provider with primary practice located at 501 S Lincoln Ave Ste 26 , Clearwater FL 33756-5964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Khousakoun, Somphanh Tynoi can be contacted via phone (727) 498-0808.Contact Information
Primary practice address
501 S Lincoln Ave Ste 26
Clearwater FL 33756-5964
Phone: (727) 498-0808
Fax: (727) 477-8303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS14703 | Florida |
Profile Details
| NPI number | 1205279759 |
|---|---|
| LBN Legal business name | Khousakoun, Somphanh Tynoi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2013 |
| Last updated | Jul 29th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205279759 | NPPES |
| Florida | MEDICAID | 022915800 |
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