Healthcare Provider Details

I. General information

NPI: 1285862201
Provider Name (Legal Business Name): YUO-CHEN KUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

PO BOX 678678
DALLAS TX
75267-8678
US

V. Phone/Fax

Practice location:
  • Phone: 800-841-4236
  • Fax:
Mailing address:
  • Phone: 800-841-4236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number451474
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: