Provider Demographics
NPI:1235664517
Name:HO, KOK CHEUNG (NP)
Entity type:Individual
Prefix:
First Name:KOK CHEUNG
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 CAMPUS DR STE E
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4376
Mailing Address - Country:US
Mailing Address - Phone:559-584-0668
Mailing Address - Fax:559-584-1071
Practice Address - Street 1:355 CAMPUS DR STE E
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4376
Practice Address - Country:US
Practice Address - Phone:559-584-0668
Practice Address - Fax:559-584-1071
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006177363L00000X
CANPF95006177363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1235664517OtherNPI