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Kelly Phommahaxay, M.D
NPI 1770997173 · on the registry since 2014
Practice
- Address
- 8080 Parkway Dr
La Mesa, CA 91942 - Phone
- (619) 753-5115
- Organisation at this address
- Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Additional practice sites
- 1039 Montgomery St, Custer, SD
- 330 N 8th Ave E, Duluth, MN
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-18
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 California