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Kong Thao

NPI 1518372697 · on the registry since 2014 · sole proprietor

Practice

Address
16843 Gehrig St Ne
Columbus, MN 55025
Phone
(918) 418-9744
Organisation at this address
Quality Care, Kev Paj Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2014-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota