| Dr Peter Ko Pllc | |
|
3260 Blazer Parkway Suite 102 Lexington KY 40509-2116 | |
| (859) 263-4817 | |
| Not Available |
| Full Name | Dr Peter Ko Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3260 Blazer Parkway, Lexington, Kentucky |
| Authorized Official Name and Position | Peter H Ko (OWNER) |
| Authorized Official Contact | 8592634817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Ko Pllc 3260 Blazer Parkway Suite 102 Lexington KY 40509-2116 Ph: (859) 263-4817 | Dr Peter Ko Pllc 3260 Blazer Parkway Suite 102 Lexington KY 40509-2116 Ph: (859) 263-4817 |
| NPI Number | 1164685434 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164685434 | NPI | - | NPPES |
| 7293 | Other | MEDICARE GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34165 (Kentucky) | Primary |
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