Individual
HELEN JIA-RU KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 E. MAGIC VIEW DRIVE, MERIDIAN, ID 83642
(208) 639-4900
(208) 639-4901
Mailing address
2855 E. MAGIC VIEW DRIVE, MERIDIAN, ID 83642
(208) 639-4900
(208) 639-4901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-10979
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11012152A
LICENSE
IN
Enumeration date
05/21/2008
Last updated
10/01/2010
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