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Individual

LOUIS KOUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3117 BLATTNER DRIVE, CAPE GIRARDEAU, MO 63703-6364
(573) 334-0341
Mailing address
3117 BLATTNER DRIVE, CAPE GIRARDEAU, MO 63703-6364
(573) 334-0341

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8D32
MO
207RG0100X
Gastroenterology Physician
Primary
R8D32
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201970100
MO
Enumeration date
07/22/2006
Last updated
09/10/2011
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