Provider Demographics
NPI:1417008913
Name:KUO, GRACE M (PHARMD, MPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:M
Last Name:KUO
Suffix:
Gender:F
Credentials:PHARMD, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSD 9500 GILMAN DRIVE MC0719
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0719
Mailing Address - Country:US
Mailing Address - Phone:858-997-8687
Mailing Address - Fax:
Practice Address - Street 1:UCSD 9500 GILMAN DRIVE MC0719
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0719
Practice Address - Country:US
Practice Address - Phone:858-997-8687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39017183500000X
MA20666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist