Individual
YONG S CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2914 SW PLASS CT, SUITE D, TOPEKA, KS 66611-1925
(785) 233-7138
(785) 233-7089
Mailing address
2914 SW PLASS CT, SUITE D, TOPEKA, KS 66611-1925
(785) 233-7138
(785) 233-7089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-060633-021
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
46235
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200587880B
—
KS
Enumeration date
03/29/2006
Last updated
04/26/2017
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