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KELLY KHAMKONGSAY
NPI 1245828672
Nurse Practitioner in Panorama City, CA

Active since December 31, 2020
9064 VAN NUYS BLVD, PANORAMA CITY, CA 91402(818) 352-8333 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Khamkongsay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KHAMKONGSAY (NPI 1245828672) is an individual nurse practitioner in Panorama City, California, licensed in California (95015584) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1245828672
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY KHAMKONGSAY
Location Address9064 VAN NUYS BLVDPanorama City, CA 91402-1813
Mailing Address9064 Van Nuys BlvdPanorama City, CA 91402-1813 · (818) 352-8333
Phone(818) 352-8333
Sole ProprietorNo
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1245828672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95015584
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9064 VAN NUYS BLVD, Panorama City, CA 91402
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMI ADIBI MD, INC
Clinic/Center (Urgent Care)
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Los Angeles County (310) 717-5777
HALEY TAKEKO TSUTSUI
Physician Assistant (Medical)
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Los Angeles County (818) 618-8684
ANI ALTUNYAN
Nurse Practitioner (Family)
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Los Angeles County (818) 892-9000
ELLINA BERNARDO APRN
Nurse Practitioner (Family)
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Los Angeles County (818) 892-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Khamkongsay's NPI number?

The NPI number for Kelly Khamkongsay is 1245828672. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Kelly Khamkongsay located?

Kelly Khamkongsay practices at 9064 Van Nuys Blvd, Panorama City, CA 91402. The listed phone number is (818) 352-8333.

What is Kelly Khamkongsay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Khamkongsay was last updated on December 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.