Individual
MR. MICHAEL KIM KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
Mailing address
PO BOX 10117, GREENWOOD, MS 38930-0117
(662) 455-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17150
MS
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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