Individual provider · Type 1 NPI

Mary Koku

Student in an Organized Health Care Education/Training Program · Hyattsville, MD

NPI number 1730038175 Active

Practice location

3342 Toledo Ter Apt 409
Hyattsville, MD 20782-1376

Mailing address

2050 Lexington Rd
Versailles, KY 40383-1738

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 1730038175

Mary Koku's National Provider Identifier is 1730038175, issued on Jan 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hyattsville, MD. The record was last updated on Apr 7, 2026.