Kyong Ko

NPI #1205140217 in Grapevine, Texas

Provider Information

NPI Number: 1205140217
Entity Type: Individual
Name: Kyong Ko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 2, 2010
Last Updated: Aug 2, 2010

Practice Location

Address: 4000 WILLIAM D TATE AVE
City: Grapevine
State: Texas
ZIP Code: 76051-8752
Phone: (817) 684-9211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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