Individual provider Active NPI

Kanokwan Seeleang, APN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1306166335
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010619 Issued in PA
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

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000060 PA Practitioner - Nurse Practitioner 3274811989 Reassigns benefits to 3 organizations

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
Public Health Management CorporationGroup PAC ID 1850307406, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Apr 26, 2025 Accepting new patients
Public Health Management Corporation CurrentSince Apr 26, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince May 1, 2020 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Aug 1, 2021 Accepting new patients
MHP MD PLLC CurrentSince Oct 16, 2021 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.

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

Verify at the official NPI Registry.