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KEOVIENGKHONE MERINA HAKVONGSA NP
NPI 1992804660
Nurse Practitioner - Family in Detroit, MI

Active since September 21, 2006
22201 MOROSS RD, SUITE 150, DETROIT, MI 48236(586) 247-4300(586) 532-6496 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keoviengkhone Merina Hakvongsa Np NPPES

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

KEOVIENGKHONE MERINA HAKVONGSA NP (NPI 1992804660) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704212195) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1992804660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEOVIENGKHONE MERINA HAKVONGSACredential: NP
Location Address22201 MOROSS RD, SUITE 150Detroit, MI 48236-2169
Mailing Address45640 Schoenherr Rd, Suite BShelby Township, MI 48315-6033 · (586) 247-4300 · Fax (586) 532-6496
Phone(586) 247-4300
Fax(586) 532-6496
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1992804660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704212195
22201 MOROSS RD, Detroit, MI 48236
Open in Google Maps ↗

Other Names 1

Former Name (1)Keoviengkhone Merina Latimer Np

Other Providers at the Same Location NPPES 20

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

RUDOLPH MENCHL JR. MD
Internal Medicine
22201 MOROSS RD, SUITE 150
DETROIT, MI 48236
Wayne County (313) 886-8787
DR. SAJITHAA VARADARASA M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DEEPAK GOPALBHAI PATEL MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
DR. ANDREY ALEX VOLKOV D.O
Neurological Surgery
22201 MOROSS RD, SUITE 352
DETROIT, MI 48236
Wayne County (313) 343-7900
JOHN THOMAS ADAMS MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
ST. JOHN HOSPITAL & MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
ST. JOHN HOSPITAL AND MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
NATALIE RENEE KONTOS DO
Pediatrics
22201 MOROSS RD, PROFESSIONAL BUILDING 2, SUITE 70
DETROIT, MI 48236
Wayne County (313) 343-4279

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 Keoviengkhone Hakvongsa's NPI number?

The NPI number for Keoviengkhone Hakvongsa is 1992804660. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Keoviengkhone Merina Latimer Np.

Where is Keoviengkhone Hakvongsa located?

Keoviengkhone Hakvongsa practices at 22201 Moross Rd Suite 150, Detroit, MI 48236. The listed phone number is (586) 247-4300.

What is Keoviengkhone Hakvongsa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keoviengkhone Hakvongsa was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.