Organization
BOUNMANY KYLE KEOJAMPA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOUNMANY KYLE KEOJAMPA M.D. (PHYSICIAN/SURGEON)
(415) 666-2525
Entity
Organization
Contact information
Practice address
19925 STEVENS CREEK BLVD STE 100, CUPERTINO, CA 95014-2384
(415) 666-2525
(888) 857-4458
Mailing address
19925 STEVENS CREEK BLVD STE 100, CUPERTINO, CA 95014-2384
(415) 666-2525
(888) 857-4458
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
134756
CA
Other
Enumeration date
05/09/2012
Last updated
03/11/2019
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