Individual
DR. NAMKYU KO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 E MARKET ST, WARREN, OH 44483
(330) 395-7000
(330) 395-6000
Mailing address
1507 E MARKET ST, WARREN, OH 44483
(330) 395-7000
(330) 395-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
047746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121092
ANTHEM
OH
05
—
0525319
—
OH
Enumeration date
02/27/2006
Last updated
07/08/2007
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