Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 30376 | DC |
Y | 2081P2900X | Pain Medicine | 0101222225 | VA |
NPI | 1427057686 |
---|---|
Provider Name | Michael K Kuo |
First Address | Baltimore, MD 21297-1334 |
Second Address | Leesburg, VA 20176-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 17/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427057686 | (05) | VA |
G73906 | (02) |