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Preston Khambounmy
NPI 1013700194 · Physician Assistant · Andover, MN
Preston Khambounmy is a Physician Assistant provider in Andover, MN (NPI 1013700194).
Provider details
- NPI number
- 1013700194
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1434 153rd Ln Nw
Andover, MN 55304-2588
Phone: (763) 447-0674
Street-level locationGet directions
Mailing address
1434 153rd Ln Nw
Andover, MN 55304-2588
Registry dates
- Enumerated
- 2025-05-22
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Preston Khambounmy's NPI number?
- Preston Khambounmy's National Provider Identifier (NPI) is 1013700194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Preston Khambounmy's specialty?
- Preston Khambounmy is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Preston Khambounmy located?
- Preston Khambounmy's practice location on file with NPPES is 1434 153rd Ln Nw, Andover, MN 55304-2588.
- What is Preston Khambounmy's phone number?
- The practice phone number listed in the NPPES registry for Preston Khambounmy is (763) 447-0674.
- Is Preston Khambounmy's NPI active?
- Yes — Preston Khambounmy's NPI (1013700194) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.