Keoviengkhone Hakvongsa, NP

NPI 1992804660 · on the registry since 2006

Practice

Address: 22201 Moross Rd
Suite 150
Detroit, MI 48236
Phone: (586) 247-4300
Fax: (586) 532-6496
Organisation at this address: Eastside Neurosurgery Pc
St Clair Adult Medicine Pc
St. John Hospital Corporation
Henry Ford Semi Medical Group
St. John Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 264

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-08

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 Michigan