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NPI Code Detail

MEDICARE: DR. KEVIN KUO D.D.S.

MEDICARE: DR. KEVIN KUO D.D.S.
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
11223E0200XEndodonticsDN1856948MA
21223E0200XEndodonticsDN24570FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811301625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN KUO D.D.S.
Provider Business Mailing Address
First Line : 8635 W HILLSBOROUGH AVE # 148
Second Line :
City : TAMPA
State : FL
Zip : 33615-3810
Country : US
Telephone Number : 734-707-1505
Fax Number :
Provider Business Practice Location Address
First Line : 8635 W HILLSBOROUGH AVE # 148
Second Line :
City : TAMPA
State : FL
Zip : 33615-3810
Country : US
Telephone Number : 734-707-1505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 03/11/2022

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