Individual
PHONEKEO KHAMVANTHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3517 W OWEN K GARRIOTT RD STE 4, ENID, OK 73703-4953
(580) 233-5553
(859) 260-4350
Mailing address
3517 W OWEN K GARRIOTT RD STE 4, ENID, OK 73703-4953
(580) 233-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP911
KY
Other
Enumeration date
06/26/2009
Last updated
12/14/2022
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