Ko, Michael is a Specialist based in Greenwood, MS. Ko, Michael practices in Greenwood, MS. The NPI Number for Ko, Michael is 1740471127 and holds a License No. 17150 (Mississippi).
The current practice location address for Ko, Michael is 1401 River Rd, Greenwood, MS and can be reached out via phone at 662-455-9595.
Location: 1401 River Rd, Greenwood, MS, 38930-4030
Provider Profile Details
NPI Number
1740471127
Provider Name
Ko, Michael
Credential
Provider Entity Type
Organization
Address
1401 River Rd, Greenwood, MS, 38930-4030
Phone Number
662-455-9595
Fax Number
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015666 | 05 | MS |
Provider Business Practice Location Address Details
Address
1401 River Rd
City
State
Zip
38930-4030
Phone Number
662-455-9595
Fax Number
Provider Business Mailing Address Details
Address
1401 River Rd
City
State
Zip
38930-4030
Phone Number
662-455-9595
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
17150 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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