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Contact Information

PHENGSY T KINGSAWAN
379 UNIVERSITY AVE W STE 214
SAINT PAUL, MN55103-2060
 Phone: 651-665-0226
 Fax: 651-204-0826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for PHENGSY T KINGSAWAN · (Male)

NPI # 1477877975
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2010
Last updated 03/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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