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

Khammany Phetsavong

Individual provider Personal Care Attendant · NPI 1790097871

Khammany Phetsavong is a Personal Care Attendant in Saint Paul, Minnesota. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

23 Empire Dr Ste 123
Saint Paul, MN 55103-1856
Phone: (651) 222-2787
Fax: (651) 224-1057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1790097871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010
Mailing address1210 Omaha Ave, Worthington, MN 56187-1844

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