Individual
WALTER KORNIENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 W SPROUL RD STE 200, SPRINGFIELD, PA 19064-4005
(484) 386-6300
(484) 380-3178
Mailing address
207 N BROAD ST, 3RD FLR., PHILADELPHIA, PA 19107-1500
(484) 386-6300
(484) 380-3178
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038297E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001101410
—
PA
Enumeration date
02/13/2006
Last updated
02/21/2025
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