PRESTON KHAMBOUNMY
NPI 1013700194
Physician Assistant in Andover, MN

Active since May 22, 2025
1434 153RD LN NW, ANDOVER, MN 55304(763) 447-0674 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Preston Khambounmy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTON KHAMBOUNMY (NPI 1013700194) is an individual physician assistant in Andover, Minnesota and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1013700194
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePRESTON KHAMBOUNMY
Location Address1434 153RD LN NWAndover, MN 55304-2588
Mailing Address1434 153rd Ln NwAndover, MN 55304-2588 · (763) 447-0674
Sole ProprietorNo
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1013700194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1434 153RD LN NW, Andover, MN 55304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preston Khambounmy's NPI number?

The NPI number for Preston Khambounmy is 1013700194. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Preston Khambounmy located?

Preston Khambounmy practices at 1434 153rd Ln NW, Andover, MN 55304. The listed phone number is (763) 447-0674.

What is Preston Khambounmy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Preston Khambounmy was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.