Kao, Llc | |
1181 Langford Dr Bld 100 Suite 101 Watkinsville GA 30621 | |
(706) 546-9838 | |
Not Available |
Full Name | Kao, Llc |
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Speciality | Clinic/Center |
Location | 1181 Langford Dr, Watkinsville, Georgia |
Authorized Official Name and Position | Kevin O'neal (OWNER/MEMBER) |
Authorized Official Contact | 7066146086 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kao, Llc 1210 Lexington Ct Bishop GA 30621-6223 Ph: (706) 614-6086 | Kao, Llc 1181 Langford Dr Bld 100 Suite 101 Watkinsville GA 30621 Ph: (706) 546-9838 |
NPI Number | 1821583477 |
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Provider Enumeration Date | 06/26/2018 |
Last Update Date | 06/26/2018 |
Medicare PECOS PAC ID | 3375888662 |
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Medicare Enrollment ID | O20181213003304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821583477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 42378 (Georgia) | Primary |
Provider Name | Kevin A Oneal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740218072 PECOS PAC ID: 2365567559 Enrollment ID: I20100910000867 |
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