Individual
TIMOTHY YEE-TAK KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2374 VILLAGE COMMON DR STE 100, ERIE, PA 16506-7201
(814) 833-7246
(814) 833-1147
Mailing address
2374 VILLAGE COMMON DR STE 100, ERIE, PA 16506-7201
(814) 833-7246
(814) 833-1147
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35.087753
OH
208VP0014X
Interventional Pain Medicine Physician
MD462767
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003665938
HIGHMARK
—
05
—
1023171040002
—
PA
05
—
2769311
—
OH
Enumeration date
05/08/2007
Last updated
06/11/2019
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