What is Kevin Khamvongsa's NPI number?

Kevin Khamvongsa's National Provider Identifier (NPI) is 1467907170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Khamvongsa's specialty?

Kevin Khamvongsa is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).

Where is Kevin Khamvongsa located?

Kevin Khamvongsa's practice location on file with NPPES is 145 S Virginia St, Crystal Lake, IL 60014-7226.

What is Kevin Khamvongsa's phone number?

The practice phone number listed in the NPPES registry for Kevin Khamvongsa is (815) 444-9999.

Is Kevin Khamvongsa's NPI active?

Yes — Kevin Khamvongsa's NPI (1467907170) is active in the NPPES registry as of the last update on 2016-08-23.

IndividualActive

Kevin Khamvongsa

NPI 1467907170 · Community/Behavioral Health Agency · Crystal Lake, IL

Kevin Khamvongsa is a Community/Behavioral Health Agency provider in Crystal Lake, IL (NPI 1467907170).

Provider details

NPI number: 1467907170
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Male
Sole proprietor: Yes
License: S4S8C5H5 (IL)

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000XLicense S4S8C5H5 (IL)
Agencies

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

145 S Virginia St

Crystal Lake, IL 60014-7226

Phone: (815) 444-9999

Street-level locationGet directions

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Mailing address