NPI 1013162742
Khounkham Keovilaj
Practice location
- Address
- 23 Empire Dr Suite 123, Saint Paul, MN 55103-1856
- Phone
- (651) 222-2787
- Fax
- (651) 224-1057
- Mailing address
- 1124 7th Ave, Worthington, MN 56187-2212
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1013162742
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Nov 2008
- Record last updated
- 21 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.