Organization
DR PETER KO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H KO MD (OWNER)
(859) 263-4817
Entity
Organization
Contact information
Practice address
3260 BLAZER PARKWAY, SUITE 102, LEXINGTON, KY 40509-2116
(859) 263-4817
Mailing address
3260 BLAZER PARKWAY, SUITE 102, LEXINGTON, KY 40509-2116
(859) 263-4817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34165
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7293
MEDICARE GROUP ID
—
Enumeration date
07/08/2008
Last updated
07/17/2008
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