Most Relevant Information
Provider Data
| NPI Number: | 1003823683 |
| Provider Name: | KEVIN JO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 239729 |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 06/01/2012 |
Provider Practice Location
455 LEWIS AVE
SUITE 106
MERIDEN
CT
064512121
Practice Location Phone/Fax
| Phone: | 2038860036 |
| Fax: | 2038860072 |
Provider Mailing Location
2139 SILAS DEANE HWY # H
ROCKY HILL
CT
060672336
Provider Mailing Phone/Fax
| Phone: | 8602574131 |
| Fax: | 8602574519 |
Suggested EMR
Gastroenterology EMR