NPI 1033301965
Samane Khamiseng
Practice location
- Address
- 23 Empire Dr Suite 123, Saint Paul, MN 55103-1856
- Phone
- (651) 222-2787
- Fax
- (651) 224-1057
- Mailing address
- 1217 Milton Ave, Worthington, MN 56187-1835
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1033301965
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Aug 2007
- Record last updated
- 14 Aug 2007
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.