Individual provider · Type 1 NPI

Khoa A. Ho, PA-S, LAT, ATC

Student in an Organized Health Care Education/Training Program · Edina, MN

NPI number 1679089841 Active

Practice location

8100 W 78th St Ste 230
Edina, MN 55439-2570

Mailing address

10587 Boss Cir
Eden Prairie, MN 55347-5228

Other practice locations

  • 4000 Pheasant Ridge Dr NE, Blaine, MN 55449-7101 · (612) 210-7485

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Athletic Trainer 2255A2300X2000034938 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679089841

Khoa A. Ho, PA-S, LAT, ATC's National Provider Identifier is 1679089841, issued on Dec 22, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edina, MN. The record was last updated on May 29, 2025.