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

Miss. Kao Xiong

Individual provider Family Nurse Practitioner · NPI 1790648665

Miss. Kao Xiong is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (952) 967-7977
Fax: (651) 254-7990
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13647 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 13647 (MN)

Record details

NPI number1790648665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2025
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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