Individual
DR. ETHAN S KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
609 JEFFERSON DAVIS HWY, 201, FREDERICKSBURG, VA 22401-4436
(540) 899-3107
(540) 899-3183
Mailing address
609 JEFFERSON DAVIS HWY, 201, FREDERICKSBURG, VA 22401-4436
(540) 899-3107
(540) 899-3183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54475
MN
207RN0300X
Nephrology Physician
Primary
010220875
VA
Other
Enumeration date
09/25/2008
Last updated
09/13/2018
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