Individual
JEFF KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W 30TH AVE, SUITE 108, PAMPA, TX 79065-2814
(806) 663-5654
(806) 663-5642
Mailing address
100 W 30TH AVE, SUITE 108, PAMPA, TX 79065-2814
(806) 663-5654
(806) 663-5642
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01064319A
IN
208000000X
Pediatrics Physician
GETP.LSU.PEDIATRIC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545123
ANTHEM, BCBS
IN
05
—
200878910
—
IN
Enumeration date
07/31/2007
Last updated
08/28/2013
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