Phoudong Keovilay, PA-C

NPI #1790330850 in Apple Valley, California

Provider Information

NPI Number: 1790330850
Entity Type: Individual
Name: Phoudong Keovilay, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 6, 2019
Last Updated: May 5, 2022

Practice Location

Address: 18300 CA-18 1ST FLOOR
City: Apple Valley
State: California
ZIP Code: 92307
Phone: (760) 242-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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