Individual
KIM ENG KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220 S ENGLEWOOD DR, ROCKY MOUNT, NC 27804-3620
(252) 382-1464
Mailing address
220 S ENGLEWOOD, ROCKY MOUNT, NC 27804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2000-0246
NC
207T00000X
Neurological Surgery Physician
Primary
2000-0426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021KV
BLUE CROSS BLUE SHIELD
NC
05
—
5950795
—
NC
Enumeration date
09/16/2006
Last updated
05/14/2015
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