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Contact Information

VIVIAN Y KO, DDS
2441 21ST STREET
USA DENTAC
FORT CAMPBELL, KY42223-5660
 Phone: 270-798-8614
 Fax: 270-798-8633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for VIVIAN Y KO · (Female)

NPI Number 1033425566
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2010
Last updated 07/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS038375
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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