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Individual
RICHARD A KORTREY
Active
Individual
RICHARD A KORTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2343
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000476A
PEACHSTATE CMO - MCCG
GA
05
—
100000476A
—
GA
01
—
344347
WELLCARE CMO - MCCG
GA
01
—
430052725
RAILROAD MCR - MCCG
GA
Enumeration date
05/01/2007
Last updated
08/15/2023
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