Individual provider · Type 1 NPI

Kao Xiong

Nurse Practitioner · St. Paul, MN

NPI number 1790648665 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Call (952) 967-7977 Map

Fax (651) 254-7990

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X13647 (MN)
Nurse Practitioner Primary 363L00000X13647 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790648665

Kao Xiong's National Provider Identifier is 1790648665, issued on Dec 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 11, 2026.