Individual
KOJI TAKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY SUITE 850, CHRISTINE M. KLEINERT INSTITUTE, LOUISVILLE, KY 40202
(502) 562-0312
Mailing address
225 ABRAHAM FLEXNER WAY SUITE 850, CHRISTINE M. KLEINERT INSTITUTE, LOUISVILLE, KY 40202
(502) 562-0312
(502) 562-0326
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FT559
KY
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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