Provider Demographics
NPI:1285815472
Name:HO, KEVIN L (DPM)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:L
Last Name:HO
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:14571 MAGNOLIA ST
Mailing Address - Street 2:SUTIE #206
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5574
Mailing Address - Country:US
Mailing Address - Phone:714-379-6400
Mailing Address - Fax:714-379-6416
Practice Address - Street 1:14571 MAGNOLIA ST
Practice Address - Street 2:SUTIE #206
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5574
Practice Address - Country:US
Practice Address - Phone:714-379-6400
Practice Address - Fax:714-379-6416
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAE4189213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU75611Medicare UPIN