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Individual

JEFFREY SUEHAN KUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036119303
IL
207P00000X
Emergency Medicine Physician
Primary
MD.200567
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05722201
MS
05
1073466
LA
Enumeration date
10/09/2007
Last updated
11/20/2008
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