Individual
RON KHAM SOU HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
308363
NY
207Q00000X
Family Medicine Physician
Primary
56066
MN
207Q00000X
Family Medicine Physician
67050-20
WI
207Q00000X
Family Medicine Physician
A-148913
CA
207Q00000X
Family Medicine Physician
ME137113
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2010
Last updated
06/29/2021
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