Kelly Thuy Hongkham, PA-C is a
Physician Assistant based in Antelope, California. Kelly Thuy Hongkham is licensed to practice in California (license number ) and her current practice location is
4207 Elverta Rd Ste 111 #153, Antelope, California. She can be reached at her office (for appointments etc.) via phone at
(916) 739-7365.
NPI number for Kelly Thuy Hongkham is 1104755057 and her current mailing address is 4207 Elverta Rd Ste 111 #153, Antelope, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104755057.
Provider's Profile
| Full Name | Kelly Thuy Hongkham |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 4207 Elverta Rd Ste 111 #153, Antelope, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104755057
- Provider Enumeration Date: 05/18/2026
- Last Update Date: 05/18/2026
Medical Identifiers
Medical identifiers for Kelly Thuy Hongkham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104755057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Thuy Hongkham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Thuy Hongkham, PA-C 4207 Elverta Rd Ste 111 #153, Antelope, CA 95843 Ph: () - | Kelly Thuy Hongkham, PA-C 4207 Elverta Rd Ste 111 #153, Antelope, CA 95843 Ph: (916) 739-7365 |
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