Provider Demographics
NPI:1508109554
Name:KUO, MICHELLE LEE (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:KUO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 BOSTON MEDICAL CTR PL
Mailing Address - Street 2:DOWLING 1, SOUTH ROOM 1322
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-5481
Mailing Address - Fax:617-414-7759
Practice Address - Street 1:1 BOSTON MEDICAL CTR PL
Practice Address - Street 2:DOWLING 1, SOUTH ROOM 1322
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2908
Practice Address - Country:US
Practice Address - Phone:617-414-5481
Practice Address - Fax:617-414-7759
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MA269578207P00000X
MA255925207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine