Provider Demographics
NPI:1215131883
Name:HO, KI HONG KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:KI HONG
Middle Name:KEVIN
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 SAN ANSELMO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2049
Mailing Address - Country:US
Mailing Address - Phone:415-682-8181
Mailing Address - Fax:
Practice Address - Street 1:1711 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2308
Practice Address - Country:US
Practice Address - Phone:415-682-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8618237700000X
TXBP1-0023049207Y00000X
CAA110838207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2798410799OtherMYUTMB 2798410799-COMMERCIAL NUMBER