NPI 1821127804

Michael Kim Ko, MD

Practitioner Specialist Greenwood, MS

Practice location

Address: 1401 River Rd, Greenwood, MS 38930-4030
Phone: (662) 459-7000
Mailing address: PO Box 10117, Greenwood, MS 38930-0117

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 17150 (MS)

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Registry record

NPI: 1821127804
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.