Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D91294 | MD |
N | 207YS0123X | Facial Plastic Surgeon | D91294 | MD |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 036151689 | IL |
NPI | 1962880419 |
---|---|
Provider Name | Richard Kao |
First Address | Chicago, IL 60612-4861 |
Second Address | Rockville, MD 20850-6212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2015 |
Last Update Date | 07/06/2021 |