Healthcare Provider Details

I. General information

NPI: 1982010757
Provider Name (Legal Business Name): SHUH-LING KUO MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E CHEVES ST
FLORENCE SC
29506-2526
US

IV. Provider business mailing address

145 E CHEVES ST
FLORENCE SC
29506-2526
US

V. Phone/Fax

Practice location:
  • Phone: 843-546-5593
  • Fax: 843-546-0456
Mailing address:
  • Phone: 843-546-5593
  • Fax: 843-546-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number143
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: