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Individual
KEVIN KOO
Active
Individual
KEVIN KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
67645
MN
208800000X
Urology Physician
D84605
MD
Other
Enumeration date
04/16/2013
Last updated
10/01/2020
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