Provider Demographics
NPI:1063649846
Name:VO, KEVIN (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:810 RALPH HALL PKWY
Mailing Address - Street 2:110
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032
Mailing Address - Country:US
Mailing Address - Phone:469-402-3434
Mailing Address - Fax:469-402-3479
Practice Address - Street 1:810 E RALPH HALL PKWY
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6878
Practice Address - Country:US
Practice Address - Phone:469-402-3434
Practice Address - Fax:469-402-3479
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP5246207QA0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Single Specialty