Grace Nimat Khouri
General Practice Physician Otolaryngologist (ENT Doctor)
1230 E. Main Street Mankato Clinic, Ltd
Mankato
, Minnesota 56002-8674
Grace Nimat Khouri
General Practice Physician Otolaryngologist (ENT Doctor)
1230 E. Main Street Mankato Clinic, Ltd
Mankato
, Minnesota 56002-8674
(952) 483-4301
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Grace Nimat Khouri
- Po Box 8674 1230 E. Main Street Mankato Clinic Ltd
- Mankato, MN
- Zip : 56002-8674
- Fax : (952) 483-4301
- Phone : (507) 625-1811
Second Address
- Grace Nimat Khouri
- 1230 E. Main Street Mankato Clinic, Ltd
- Mankato, MN
- Zip : 56002-8674
- Fax : (952) 843-4301
- Phone : (507) 625-1811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 30851 | MN |
| Y | 208D00000X | General Practice Physician | 30851 | MN |
National Provider Identifier
| NPI | 1063489151 |
|---|---|
| Provider Name | Grace Nimat Khouri |
| First Address | Mankato, MN 56002-8674 |
| Second Address | Mankato, MN 56002-8674 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2006 |
| Last Update Date | 20/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 836385400 | (05) | MN |
| E55160 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.