IndividualActive
Vivian Ko, DDS
NPI 1033425566 · Prosthodontics · Ft Campbell, KY
Provider details
- NPI number
- 1033425566
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DS038375 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2441 21st Street
USA Dentac
Ft Campbell, KY 42223-5660
Phone: (270) 798-8614
Fax: (270) 798-8633
Approximate (ZIP-level) locationGet directions
Mailing address
2441 21st Street
Ft Campbell, KY 42223-5660
Registry dates
- Enumerated
- 2010-08-21
- Last updated
- 2015-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.