Provider Demographics
NPI:1598995862
Name:XIONG, KOU TOU
Entity Type:Individual
Prefix:MR
First Name:KOU
Middle Name:TOU
Last Name:XIONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 HAMPSHIRE AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2707
Mailing Address - Country:US
Mailing Address - Phone:763-300-4614
Mailing Address - Fax:763-560-1850
Practice Address - Street 1:7732 HAMPSHIRE AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2707
Practice Address - Country:US
Practice Address - Phone:763-300-4614
Practice Address - Fax:763-560-1850
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171W00000XOther Service ProvidersContractor