Healthcare Provider Details

I. General information

NPI: 1184548562
Provider Name (Legal Business Name): FRANK KO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 OLD 41 HWY NW STE 140
KENNESAW GA
30152-4422
US

IV. Provider business mailing address

1815 OLD 41 HWY NW STE 140
KENNESAW GA
30152-4422
US

V. Phone/Fax

Practice location:
  • Phone: 678-402-5170
  • Fax: 770-693-9438
Mailing address:
  • Phone: 678-402-5170
  • Fax: 770-693-9438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number621
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: