Individual
AMY C KORB
Active
Individual
AMY C KORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05052
TX
363AS0400X
Surgical Physician Assistant
010446
NY
363AS0400X
Surgical Physician Assistant
Primary
PA-2933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1358
BLUE CROSS BLUE SHIELD
TX
01
—
P00442154
RAILROAD MEDICARE
TX
Enumeration date
08/30/2006
Last updated
12/30/2014
Update your record
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