Individual
KYUNG SUK OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
111 MONTICELLO AVE STE B, CHARLOTTESVILLE, VA 22902-5698
(434) 996-5393
Mailing address
215 WAHOO WAY APT 732, CHARLOTTESVILLE, VA 22903-4161
(434) 996-5393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003659
VA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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