Individual
KYLE PENTTI KOKKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
202 NEXTON SQUARE DRIVE, SUMMERVILLE, SC 29486
(854) 429-4263
Mailing address
202 NEXTON SQUARE DRIVE, SUMMERVILLE, SC 29486
(854) 429-4263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LL28914
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
28914
SC
390200000X
Student in an Organized Health Care Education/Training Program
264927-1
NY
Other
Enumeration date
11/01/2006
Last updated
12/19/2019
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