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Contact Information

ANNE C MARTIN KO, MD
260 HOSPITAL DR
SUITE 204
UKIAH, CA95482-4533
 Phone: 707-463-3470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANNE C MARTIN KO · (Female)

NPI Number 1063524460
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 04/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C54981
  • PA License # MD048496L
  • PA Medicaid 0012644510003OU
  • PA Medicaid 0014521480001
  • PA Medicaid 90923
  • PA Other 42469 AETNA
  • PA Other 0366976 CIGNA
  • PA Other 575394 HIGHMARK
  • PA Other 000000853A UPMC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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