Jo, Kevin

Jo, Kevin is an individual health care provider with primary practice located at 455 Lewis Ave Suite 106, Meriden CT 06451-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jo, Kevin can be contacted via phone (203) 886-0036.

Contact Information

Primary practice address
455 Lewis Ave Suite 106 Meriden CT 06451-2121
Phone: (203) 886-0036
Fax: (203) 886-0072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 239729 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 050624 Connecticut

Profile Details

NPI number 1003823683
LBN Legal business name Jo, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003823683 NPPES
Connecticut MEDICAID 008039309

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