Sid Keomanivong

Individual Active
NPI 1760960462
Primary Care Nurse Practitioner Central Point, OR

NPI 1760960462 belongs to Sid Keomanivong, a primary care nurse practitioner with a practice location in Central Point, OR. The NPI was issued on August 3, 2018, and the record was last updated in NPPES on October 8, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 201806379NP-PP (OR)

Practice location

2677 Beall Ln
Central Point, OR 97502-1462
Phone: (702) 343-0466

Local context

Active NPPES records list 21 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 16 of them within 10 miles.

The same primary taxonomy is listed by 129 in Oregon and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Sid Christian Keomanivong
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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