Khounkham Keovilaj

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

23 Empire Dr
Suite 123
Saint Paul, MN 55103-1856

Phone

(651) 222-2787

Fax

(651) 224-1057

NPI assigned

Nov 21, 2008

Last updated

Nov 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minnesota National Health Kare

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1053444786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1013162742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 7TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872212",
            "telephone_number": "507-372-5670",
            "fax_number": "651-224-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EMPIRE DR",
            "address_2": "SUITE 123",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031856",
            "telephone_number": "651-222-2787",
            "fax_number": "651-224-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOVILAJ",
        "first_name": "KHOUNKHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay E Kent, MD
• Josie Kent
• Susan Marie Kent, D.C.
• Amanda K Keogh, ANP-BC
• Kathleen Annette Keogh, RN, CNP
• Kimberly Keppen, MA, LPCC
• Brigette Robbins Kerber, PA-C
• Chase Franklin Kerber, DPT
• Lenaya Terrill Kerlin, LPCC
• Mazy Jane Kerling

• Personal Care Attendant in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.