Healthcare Provider Details

I. General information

NPI: 1922019280
Provider Name (Legal Business Name): CHIEN-SUU KUO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE STREET, G100 GILL HEART INSTITUTE
LEXINGTON KY
40536-0093
US

IV. Provider business mailing address

900 SOUTH LIMESTONE, 326 CTWB GILL HEART INSTITUTE
LEXINGTON KY
40536-0200
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0295
  • Fax:
Mailing address:
  • Phone: 859-323-3705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16855
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number16855
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number16855
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: