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Dr. Ethan S Ko, DO

Internal Medicine, Nephrology in Fredericksburg, VA. Individual provider (NPI-1).

NPI number1992955058
StatusActive
Last updated in NPPESSep 13, 2018

Details

NPI
1992955058
Entity type
Individual (NPI-1)
Name
Dr. Ethan S Ko
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2008
Last updated
Sep 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology010220875VAYes
207R00000X Internal Medicine54475MN

Practice location

609 Jefferson Davis Hwy
201
Fredericksburg, VA 22401-4436

Phone 540-899-3107 · Fax 540-899-3183

Mailing address

609 Jefferson Davis Hwy
201
Fredericksburg, VA 22401-4436

Phone 540-899-3107 · Fax 540-899-3183

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