Healthcare Provider Details

I. General information

NPI: 1194898080
Provider Name (Legal Business Name): BENJAMIN KUHN OKO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 ETHAN ALLEN HIGHWAY
RIDGEFIELD CT
06877
US

IV. Provider business mailing address

898 ETHAN ALLEN HIGHWAY
RIDGEFIELD CT
06877
US

V. Phone/Fax

Practice location:
  • Phone: 203-894-8584
  • Fax: 203-894-1726
Mailing address:
  • Phone: 203-894-8584
  • Fax: 203-894-1726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number098133
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number034484
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: