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Contact Information

KELLY T HONGKHAM, PA-C
4207 ELVERTA RD STE 111 #153
ANTELOPE, CA95843
 Phone: 916-739-7365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY T HONGKHAM · (Female)

NPI # 1104755057
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/18/2026
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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