Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel John Kjome, MD

Individual provider General Practice Physician · NPI 1336110600

Dr. Samuel John Kjome, MD is a Family Practice in APO, Armed Forces Europe. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
22
Trained at
University of Minnesota Medical School
Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

48 Medical Group / Sgop Unit 5210 Box 230
APO, AE 09461
Phone: 441638528010

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 — (952) 993-3512

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 59459 (MN)
General Practice Physician Taxonomy 208D00000X · Licence 10065 (ND)

Record details

NPI number1336110600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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