Provider Demographics
NPI:1316418999
Name:KO, YING LIU (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:LIU
Last Name:KO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ATHENA CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1566
Mailing Address - Country:US
Mailing Address - Phone:302-588-8509
Mailing Address - Fax:
Practice Address - Street 1:2300 PENNSYLVANIA AVE STE 5B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1305
Practice Address - Country:US
Practice Address - Phone:302-691-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECQ-0000053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist