Individual
KEVIN XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DRIVE, OTOLARYNGOLOGY - HEAD & NECK SURGERY, DC027.00, COLUMBIA, MO 65212
(573) 882-7935
(573) 884-4205
Mailing address
1 HOSPITAL DRIVE, OTOLARYNGOLOGY - HEAD & NECK SURGERY, DC027.00, COLUMBIA, MO 65212
(573) 882-7935
(573) 884-4205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114619
—
MO
Enumeration date
05/07/2021
Last updated
12/21/2022
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