Khristopher Edward Korell, | |
2635 Caldwell Blvd, Suite B, Nampa, ID 83651-6407 | |
(208) 442-0577 | |
(208) 442-7455 |
Full Name | Khristopher Edward Korell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 2635 Caldwell Blvd, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336433184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2871 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Key Stone Health Care | 0648402784 | 6 |
Provider Name | Key Stone Health Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932520640 PECOS PAC ID: 0648402784 Enrollment ID: O20140403002234 |
Mailing Address | Practice Location Address |
---|---|
Khristopher Edward Korell, 1159 E Iron Eagle Dr St 170, Eagle, ID 83616-6871 Ph: (208) 514-0670 | Khristopher Edward Korell, 2635 Caldwell Blvd, Suite B, Nampa, ID 83651-6407 Ph: (208) 442-0577 |
Nathan Ira Allen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651 Phone: 208-442-0577 Fax: 208-442-7455 | |
Peter James Rowley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 337 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-7889 Fax: 208-467-7800 | |
Carmen M Schmidt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-489-5950 | |
Mr. James Richard Teater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-5059 | |
Derek Matthew Wood, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 | |
Tyler Powell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16816 N Marketplace Blvd, Nampa, ID 83687 Phone: 208-461-9593 Fax: 208-369-9272 | |
Verl Dean Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14873 Hensen Dr, Nampa, ID 83651 Phone: 208-475-1986 |