Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A17032 | CA |
Y | 207P00000X | Emergency Physician | 5101020513 | MI |
N | 207P00000X | Emergency Physician | DO2201 | NV |
NPI | 1013357102 |
---|---|
Provider Name | Tim Kuo |
First Address | Henderson, NV 89052-3839 |
Second Address | Henderson, NV 89052-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2013 |
Last Update Date | 15/11/2020 |