Organization
WYNN KAO DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYNN KAO M.D. (DIRECTOR)
(410) 730-1287
Entity
Organization
Contact information
Practice address
10705 CHARTER DR STE 330, COLUMBIA, MD 21044-2885
(410) 730-1287
Mailing address
10705 CHARTER DR STE 330, COLUMBIA, MD 21044-2885
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D70980
MD
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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