Stacey L Ko in Minneapolis - Physician Assistant
Stacey L Ko - NPI 1821059692
Stacey L Ko is a Physician Assistant in Minneapolis, Minnesota. Stacey L Ko practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey L Ko is 1821059692. The last update date is 2021-03-11.
Stacey L Ko's current location address is 8170 33rd Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 9528835375 and fax number 6514154101. The mailing address for Stacey L Ko is 8170 33rd Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Ko |
|---|---|
| Address | 8170 33rd Ave S, Minneapolis, Minnesota |
| Phone Number | 9528835375 |
| Fax Number | 6514154101 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821059692 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9528835375 |
| Fax Number | 6514154101 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9655 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150112700 | MN | -- |
Post Comment/ Review Below
What is the Stacey L Ko's unique identification number?
The Stacey L Ko has been assigned the NPI (National Provider Identifier) Number 1821059692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Stacey L Ko's facilities are geographically located?
The facilities of Stacey L Ko are physically situated at the following location: 8170 33Rd Ave S, Minneapolis, MN, 554254516.
What is Stacey L Ko's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey L Ko is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821059692 to Stacey L Ko?
The Centers for Medicare & Medicaid Services originally issued the 1821059692 to Stacey L Ko on 2006-03-31.
When was the information related to Stacey L Ko most recently updated or refreshed?
The details pertaining to the Stacey L Ko, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY