Individual
PEY SHAN KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 N BREIEL BLVD, MIDDLETOWN, OH 45042-3808
(513) 424-2535
Mailing address
3170 KETTERING BLVD, BUILDING B, 3RD FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005226RX
OH
Other
Enumeration date
09/14/2017
Last updated
09/28/2017
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