Individual
ELIZABETH ELLEN KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7233
(410) 605-7919
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7233
(410) 605-7919
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0001534
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020710
NCCPA CERTIFICATE NUMBER
MD
01
—
C0001534
LIC CERT NUMBER FOR STATE
MD
Enumeration date
10/18/2006
Last updated
07/08/2007
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