Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Ko

Individual provider Physical Therapist · NPI 1629859376

Kenneth Ko is a Physical Therapist in Oakland, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

3600 Broadway
Oakland, CA 94611-5730
Phone: (510) 912-1190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304998 (CA)

Record details

NPI number1629859376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address259 Maud Ave, San Leandro, CA 94577-5036

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