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Search › Alaska › 163W00000X

Kobe Thammavongsa

NPI 1073122065 · on the registry since 2020

Practice

Address
4320 Diplomacy Dr
Anchorage, AK 99508
Phone
(907) 729-0000
Organisation at this address
Southcentralfoundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
435

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska