Healthcare Provider Details

I. General information

NPI: 1659422186
Provider Name (Legal Business Name): TSUNG-YI S KUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S COURT ST STE F
VISALIA CA
93277-4931
US

IV. Provider business mailing address

1700 S COURT ST STE F
VISALIA CA
93277-4931
US

V. Phone/Fax

Practice location:
  • Phone: 559-734-9244
  • Fax: 559-734-6932
Mailing address:
  • Phone: 559-734-9244
  • Fax: 559-734-6932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA35370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: