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Individual

TAEYEONG KO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31577
WV
207R00000X
Internal Medicine Physician
57.247758
OH
208M00000X
Hospitalist Physician
31577
WV

Other

Enumeration date
06/26/2019
Last updated
04/06/2026
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