NPI

Jahoon Koo

NPI 1629554209

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
ACNPC-AG
Type
Individual
Enumeration date
2018-07-17
Last updated
2022-12-20

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Specialties

Licenses

License WI
APNP8026-33

Location

Practice location
1120 Pine St
City
Stanley WI
Postal code
54768-1297
Phone
(800) 643-0554

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Stanley, WI. 61 records in the public file.

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