IndividualActive
Khammany Phetsavong
NPI 1790097871 · Personal Care Attendant · Saint Paul, MN
Khammany Phetsavong is a Personal Care Attendant provider in Saint Paul, MN (NPI 1790097871).
Provider details
- NPI number
- 1790097871
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
23 Empire Dr
Suite 123
Saint Paul, MN 55103-1856
Phone: (651) 222-2787
Fax: (651) 224-1057
Street-level locationGet directions
Mailing address
1210 Omaha Ave
Worthington, MN 56187-1844
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Frequently asked questions
- What is Khammany Phetsavong's NPI number?
- Khammany Phetsavong's National Provider Identifier (NPI) is 1790097871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khammany Phetsavong's specialty?
- Khammany Phetsavong is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Khammany Phetsavong located?
- Khammany Phetsavong's practice location on file with NPPES is 23 Empire Dr, Saint Paul, MN 55103-1856.
- What is Khammany Phetsavong's phone number?
- The practice phone number listed in the NPPES registry for Khammany Phetsavong is (651) 222-2787.
- Is Khammany Phetsavong's NPI active?
- Yes — Khammany Phetsavong's NPI (1790097871) is active in the NPPES registry as of the last update on 2010-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.