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NPI Code Detail

MEDICARE: KEVIN ANDREW NGO

MEDICARE: KEVIN ANDREW NGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326543331
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN ANDREW NGO
Provider Business Mailing Address
First Line : 200 UNIVERSITY PKWY
Second Line :
City : YAKIMA
State : WA
Zip : 98901-9539
Country : US
Telephone Number : 509-452-5100
Fax Number : 509-452-5101
Provider Business Practice Location Address
First Line : 200 UNIVERSITY PKWY
Second Line :
City : YAKIMA
State : WA
Zip : 98901-9539
Country : US
Telephone Number : 509-452-5100
Fax Number : 509-452-5101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 03/30/2018

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Directions to “ KEVIN ANDREW NGO ” Practice Location

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