Organization
OTOLARYNGOLOGY GROUP OF CENTRAL PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YI H KAO M.D. (PHYSICIAN)
(814) 339-7101
Entity
Organization
Contact information
Practice address
2505 GREEN TECH DR, SUITE C, STATE COLLEGE, PA 16803-2316
(814) 231-7750
(814) 371-7752
Mailing address
PO BOX 592, CLEARFIELD, PA 16830-0592
(814) 339-7101
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017302900002
—
PA
Enumeration date
07/09/2006
Last updated
06/30/2015
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