Individual
KHOM SYSAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 EMPIRE DRIVE, SUITE 123, SAINT PAUL, MN 55103
(651) 222-2787
Mailing address
911 JOHNSON AVENUE, WORTHINGTON, MN 56187
(507) 372-5517
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us