Preston Khambounmy

NPI #1013700194 in Andover, Minnesota

Provider Information

NPI Number
1013700194
Entity Type
Individual
Name
Preston Khambounmy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
May 22, 2025
Last Updated
May 22, 2025

Practice Location

Address
1434 153RD LN NW
ZIP Code
55304-2588
Phone
(763) 447-0674

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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