Active NPI
Kanokwan Seeleang, APN
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP010619
- Practice address
- 1900 N 9TH St Ste 104
Philadelphia, PA 19122-2028 - Phone
- (215) 765-6690
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010619 | PA | Primary |
Addresses
Primary practice location
1900 N 9TH St Ste 104
Philadelphia, PA 19122-2028
Mailing address
200 Christian St
Unit 13
Philadelphia, PA 19147-4210
Other practice location 1
501 S 54th St
Philadelphia, PA 19143-1900
Phone (855) 887-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 N 9TH St
104 PHMC Health Connection
Philadelphia, PA 19122-2028
Phone (215) 765-6690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Pennsylvania LLC | Family | Current | Accepting new patients |
| Pennsylvania Urgent Care Centers, PLLC | Current | Accepting new patients | |
| MHP MD PLLC | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Mangement Corporation | Past | Accepting new patients |
Locations
780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622
48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730
150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047
1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690
216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870
2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Family Nurse Practitioner
- Bryn Mawr, PA
- NPI 1881738037
-
- Urgent Care Clinic/Center
- Downingtown, PA
- NPI 1902128721
-
- Urgent Care Clinic/Center
- Conshohocken, PA
- NPI 1508538695
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
-
- Federally Qualified Health Center (FQHC)
- Flourtown, PA
- NPI 1922535764
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1912943457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1306166335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CHRISTIAN ST",
"address_2": "UNIT 13",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N 9TH ST STE 104",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191222028",
"telephone_number": "215-765-6690"
}
],
"practiceLocations": [
{
"address_1": "501 S 54th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191431900",
"country_code": "US",
"telephone_number": "855-887-9229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEELEANG",
"first_name": "KANOKWAN",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.