Individual
ELLEN KO-KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1615 HOSPITAL PKWY STE 210, BEDFORD, TX 76022-5936
(817) 540-3121
Mailing address
1615 HOSPITAL PKWY STE 210, BEDFORD, TX 76022-5936
(817) 540-3121
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101021032
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
T6613
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2014
Last updated
10/20/2022
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