Individual
JENNIFER SUSAN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
734 MONTICELLO PLACE LN, CLEVELAND, OH 44143-2867
(216) 382-9694
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.087166
OH
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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