Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 17367 | NH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 260512 | MA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS16514 | FL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OT013694 | PA |
NPI | 1730409970 |
---|---|
Provider Name | Dr. Kevin Hsu |
First Address | Lakeland, FL 33805 |
Second Address | Lakeland, FL 33803-7952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2010 |
Last Update Date | 06/02/2020 |