SID CHRISTIAN KEOMANIVONG – Primary Care Nurse Practitioner, NPI 1760960462
Primary Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SID CHRISTIAN KEOMANIVONG
Winterhaven Street, Las Vegas, Clark County, Nevada, 89108-4588, United States
UNIT 101
LAS VEGAS, NV 891085064
Phone: (702) 343-0466
Type: Mailing
2677, Beall Lane, Central Point, Jackson County, Oregon, 97502, United States
CENTRAL POINT, OR 975021462
Phone: (702) 343-0466
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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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 89108)
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