Organization
KO, MICHAEL
Active
Parent organization
KO'S BILLING OFFICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KO'S BILLING OFFICE
Authorized official
DR. MICHAEL KO (RADIOLOGIST)
(662) 455-9595
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 455-9595
Mailing address
1401 RIVER RD, GREENWOOD, MS 38930-4030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17150
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015666
—
MS
Enumeration date
08/09/2007
Last updated
02/07/2008
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