Individual
MR. GONG TEN KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 TEACO RD, KENNETT, MO 63857
(573) 888-1117
(573) 888-6319
Mailing address
501 TEACO RD, KENNETT, MO 63857
(573) 888-1117
(573) 888-6319
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R5799
MO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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