Ko, Karren S

Ko, Karren S is an individual health care provider with primary practice located at 201 Gateway Dr Ste 300 , Beaver Dam WI 53916-9176. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ko, Karren S can be contacted via phone (800) 974-4378.

Contact Information

Primary practice address
201 Gateway Dr Ste 300 Beaver Dam WI 53916-9176
Phone: (800) 974-4378
Fax: (630) 515-1536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9886-024 Wisconsin

Profile Details

NPI number 1013240142
LBN Legal business name Ko, Karren S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2009
Last updated Mar 11th, 2024 - about 2 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 1013240142 NPPES
Wisconsin MEDICAID 404020400

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