Provider Demographics
NPI:1063525962
Name:VO, CANH JEFF V (DO)
Entity type:Individual
Prefix:DR
First Name:CANH JEFF
Middle Name:V
Last Name:VO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:551 WESTPORT RD STE D
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2950
Mailing Address - Country:US
Mailing Address - Phone:270-765-3301
Mailing Address - Fax:270-765-3928
Practice Address - Street 1:551 WESTPORT RD STE D
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2950
Practice Address - Country:US
Practice Address - Phone:270-765-3301
Practice Address - Fax:270-765-3928
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY02626207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000189727OtherANTHEM BLUE CROSS
KY1138886OtherPASSPORT
KY64026438Medicaid
F85640Medicare UPIN
1869201Medicare ID - Type Unspecified