Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2018012849 | MO |
N | 204E00000X | Oral & Maxillofacial Surgeon | DN013126 | GA |
NPI | 1043269640 |
---|---|
Provider Name | Dr. Solon Ting-Yao Kao |
First Address | Kansas City, MO 64108-2716 |
Second Address | Kansas City, MO 64108-2716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 30/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
796604704A | (05) | GA |
V06236 | (02) | GA |
ZG3126 | (05) | SC |