Provider Demographics
NPI:1235268608
Name:SATO, KYOKO (NP)
Entity Type:Individual
Prefix:MRS
First Name:KYOKO
Middle Name:
Last Name:SATO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-502-0723
Mailing Address - Fax:410-502-0723
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:BLALOCK 618
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-502-0723
Practice Address - Fax:410-502-0723
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY43 430297363LA2100X
NY33 334867363LF0000X
MDR145292363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily