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Kampong Cham borders the provinces of Kampong Chhnang to the west, Kampong Thom and Kratie to the north, Prey Veng and Kandal to the south, and Tbong Khmum to the east. Through Kratie, its serves also as a gateway to Stung Treng and the frontier provinces of Rattanakiri and Mondulkiri.

Kampong Cham is a relaxed and quiet town that was one an important trading post during the French period; its legacy evident by the chastened yet classic buildings that are still standing in their full glory. It carries plenty of colonial French characteristics and is a good place to enjoy the laid back atmosphere and quaint charm.

The ruins at Wat Nokor, an Angkorian temple dating from the eleventh century, contain a standard assortment of Angkor architecture. A visit to this site can easily be combined with a trip to the mountains of Pros and Srei.

The city boasts the first bridge to be built over the Mekong River in Cambodia. The 1500 metres Kizuna Bridge here in Kampong Cham was the longest in Cambodia until the 1900 metres Thai-Cambodia bridge in Koh Kong took its place in 2002. The Kizuna Bridge links eastern and western Cambodia by road for the first time.