Khounkham Keovilaj
NPI #1013162742 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013162742
- Entity Type
- Individual
- Name
- Khounkham Keovilaj
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Nov 21, 2008
- Last Updated
- Nov 21, 2008
Practice Location
- Address
- 23 EMPIRE DR
- Address 2
- SUITE 123
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55103-1856
- Phone
- (651) 222-2787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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