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1912038597
BENNY SP KO
INDIANAPOLIS, IN
NPI
1912038597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IN 01024080A)
Enumeration Date
2007-03-08
Last Update Date
2013-03-15
Business Address
-- BENNY SP KO M.D.
3660 GUION RD STE 101
INDIANAPOLIS, IN 46222-1616
Phone number: 317-920-7139
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Mailing Address
-- BENNY SP KO M.D.
PO BOX 637999
CINCINNATI, OH 45263-7999
Phone number: 317-682-2030
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