Healthcare Provider Details

I. General information

NPI: 1659952968
Provider Name (Legal Business Name): WESLEY KUO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 POWDER MILL RD
YORK PA
17402-4723
US

IV. Provider business mailing address

1855 POWDER MILL RD
YORK PA
17402-4723
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-4800
  • Fax:
Mailing address:
  • Phone: 717-848-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS024595
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: