Kouo, Theresa

Kouo, Theresa is an individual health care provider with primary practice located at 35 Monument Rd , York PA 17403-5074. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kouo, Theresa can be contacted via phone (717) 812-4083.

Contact Information

Primary practice address
35 Monument Rd York PA 17403-5074
Phone: (717) 812-4083
Fax: (717) 812-2244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X D0064346 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD460536 Pennsylvania
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD460536 Pennsylvania

Profile Details

NPI number 1376676775
LBN Legal business name Kouo, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Apr 21st, 2017 - about 7 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 1376676775 NPPES
California MEDICAID 0A1020900

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