Ko Nurse Practitioner, LLC

NPI #1912287624 in Lakewood, Ohio

Provider Information

NPI Number: 1912287624
Entity Type: Organization
Organization Name: Ko Nurse Practitioner, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 25, 2011
Last Updated: Sep 20, 2016

Practice Location

Address: 15800 DETROIT AVE
City: Lakewood
State: Ohio
ZIP Code: 44107-3748
Phone: (216) 226-8700

Authorized Official

Name: DR. GEORGE KHURI, MD
Title: OWNER
Phone: (216) 521-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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