Healthcare Provider Details

I. General information

NPI: 1659582039
Provider Name (Legal Business Name): MING-WEN KUO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 W 1ST ST STE 406
DAYTON OH
45402-3048
US

IV. Provider business mailing address

369 W 1ST ST STE 406
DAYTON OH
45402-3048
US

V. Phone/Fax

Practice location:
  • Phone: 937-222-0022
  • Fax:
Mailing address:
  • Phone: 937-222-0022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: