Search › Missouri › 122300000X
Diane Ko, D.M.D
NPI 1205245685 · on the registry since 2014
Practice
- Address
- 1314 Brenda Ave
Perryville, MO 63775 - Phone
- (573) 517-0405
- Fax
- (573) 517-0420
- Organisation at this address
- Cross Trails Medical Center
Cross Trails Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri