Individual
DR. EBENEZER KIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2480
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2480
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01066705A
IN
207RH0003X
Hematology & Oncology Physician
Primary
036169262
IL
Other
Enumeration date
11/01/2006
Last updated
03/28/2025
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