KEOVIENGKHONE MERINA HAKVONGSA (NP) – Family Nurse Practitioner, NPI 1992804660

KEOVIENGKHONE MERINA HAKVONGSA (NP) is a healthcare provider. based in Shelby township, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704212195 (MI). The NPI Number for KEOVIENGKHONE MERINA HAKVONGSA (NP) is 1992804660

Main info

Female
Name
KEOVIENGKHONE MERINA HAKVONGSA (NP)
NPI
1992804660
Phone
(586) 247-4300
Address
45640 SCHOENHERR RD
Enumeration Date
21 September 2006
Last Update Date
8 January 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEOVIENGKHONE MERINA HAKVONGSA (NP)

  • 45640, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SUITE B

    SHELBY TOWNSHIP, MI 483156033

    Phone: (586) 247-4300

    Fax: (586) 532-6496

    Type: Mailing

  • 22201, Moross Road, Detroit, Wayne County, Michigan, 48236, United States

    SUITE 150

    DETROIT, MI 482362169

    Phone: (586) 247-4300

    Fax: (586) 532-6496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48315)

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Reviews

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Frequently asked questions

Can I cross-check KEOVIENGKHONE MERINA HAKVONGSA (NP) using NPI 1992804660?
NPI 1992804660 belongs to KEOVIENGKHONE MERINA HAKVONGSA (NP); compare other details if you need extra assurance.
Is there an active status for KEOVIENGKHONE MERINA HAKVONGSA (NP)?
For scheduling context, KEOVIENGKHONE MERINA HAKVONGSA (NP) is shown as active in the registry.
How would a patient describe KEOVIENGKHONE MERINA HAKVONGSA (NP)'s focus?
For KEOVIENGKHONE MERINA HAKVONGSA (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KEOVIENGKHONE MERINA HAKVONGSA (NP) located near Shelby Township?
KEOVIENGKHONE MERINA HAKVONGSA (NP) currently maps to Shelby Township, Michigan in this extract.
When was this NPI issued?
Enumeration for KEOVIENGKHONE MERINA HAKVONGSA (NP) is noted as September 21, 2006 where the registry provides it.

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