Kenneth G Korver, Md Medical Corporation | |
575 Hospital Ln Susanville CA 96130-4808 | |
(530) 257-4186 | |
Not Available |
Full Name | Kenneth G Korver, Md Medical Corporation |
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Speciality | Clinic/Center |
Location | 575 Hospital Ln, Susanville, California |
Authorized Official Name and Position | Kenneth G Korver (PRESIDENT) |
Authorized Official Contact | 5302574186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kenneth G Korver, Md Medical Corporation 575 Hospital Ln Susanville CA 96130-4808 Ph: (530) 257-4186 | Kenneth G Korver, Md Medical Corporation 575 Hospital Ln Susanville CA 96130-4808 Ph: (530) 257-4186 |
NPI Number | 1538689138 |
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Provider Enumeration Date | 06/23/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 1254600471 |
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Medicare Enrollment ID | O20170703000925 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538689138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kenneth G Korver |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1326159633 PECOS PAC ID: 4981732104 Enrollment ID: I20100510000433 |
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