Individual
TOMMY K KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114-4858
(816) 942-4500
(816) 941-4504
Mailing address
1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114-4858
(816) 942-4500
(816) 941-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2K66
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R2K66
MO
207RP1001X
Pulmonary Disease Physician
04-27564
KS
207RP1001X
Pulmonary Disease Physician
Primary
R2K66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126160D
—
KS
05
—
202937827
—
MO
Enumeration date
01/27/2006
Last updated
02/16/2022
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