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Kelly Phommahaxay, MD
Family Medicine Physician in La Mesa, California
NPI 1770997173

Kelly Phommahaxay is a Family Medicine Physician based in La Mesa, CA. Kelly Phommahaxay practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Kelly Phommahaxay is 1770997173 and holds a License No. (California).

The current practice location address for Kelly Phommahaxay is 8080 Parkway Dr, La Mesa, CA and can be reached out via phone at 619-753-5115.

Location: 8080 Parkway Dr, La Mesa, CA, 91942-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770997173
Provider Name
Kelly Phommahaxay
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8080 Parkway Dr, La Mesa, CA, 91942-2104
Phone Number
619-753-5115
Fax Number
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8080 Parkway Dr
City
La Mesa
State
California
Zip
91942-2104
Phone Number
619-753-5115
Fax Number
person
Provider Business Mailing Address Details
Address
8080 Parkway Dr
City
La Mesa
State
California
Zip
91942-2104
Phone Number
619-753-5115
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
59533 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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