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

Khom Sysavath

Individual provider Personal Care Attendant · NPI 1316100118

Khom Sysavath is a Personal Care Attendant in Saint Paul, Minnesota. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

23 Empire Dr Ste 123
Saint Paul, MN 55103
Phone: (651) 222-2787
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 number1316100118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 2, 2008
Mailing address911 Johnson Avenue, Worthington, MN 56187

Other providers in Saint Paul