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Dr. Eddie Ko, MD
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1477968212

Eddie Ko is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Eddie Ko practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Eddie Ko is 1477968212 and holds a License No. (Tennessee).

The current practice location address for Eddie Ko is 201 Cassell Dr, Kingsport, TN and can be reached out via phone at 423-245-9600 and via fax at 423-245-9631.

Location: 201 Cassell Dr, Kingsport, TN, 37660-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477968212
Provider Name
Eddie Ko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 Cassell Dr, Kingsport, TN, 37660-3747
Phone Number
423-245-9600
Fax Number
423-245-9631
Provider Enumeration Date
06/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Cassell Dr
City
Kingsport
State
Tennessee
Zip
37660-3747
Phone Number
423-245-9600
Fax Number
423-245-9631
person
Provider Business Mailing Address Details
Address
201 Cassell Dr
City
Kingsport
State
Tennessee
Zip
37660-3747
Phone Number
423-245-9600
Fax Number
423-245-9631
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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