Individual provider · Type 1 NPI

Eddie Ko, MD

Student in an Organized Health Care Education/Training Program · Kingsport, TN

NPI number 1477968212 Active

Practice location

201 Cassell Dr
Kingsport, TN 37660-3747

Call (423) 245-9600 Map

Fax (423) 245-9631

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1477968212

Eddie Ko, MD's National Provider Identifier is 1477968212, issued on Jun 30, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingsport, TN. The record was last updated on May 13, 2017.