Individual
GREGORY T KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD STE B165, LEXINGTON, KY 40504-1726
(859) 288-2425
(859) 288-7510
Mailing address
PO BOX 39597, BELFAST, ME 04915-1249
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33614
KY
207Q00000X
Family Medicine Physician
33614
KY
208D00000X
General Practice Physician
Primary
33614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64363146
—
KY
Enumeration date
03/21/2006
Last updated
07/15/2025
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