Provider Demographics
NPI:1134891823
Name:LE, VAN KHANH (PA-C)
Entity type:Individual
Prefix:MS
First Name:VAN
Middle Name:KHANH
Last Name:LE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4175
Mailing Address - Country:US
Mailing Address - Phone:406-874-8700
Mailing Address - Fax:
Practice Address - Street 1:305 S 4TH ST
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-4175
Practice Address - Country:US
Practice Address - Phone:406-874-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant