Individual
MICHELLE LYNN KORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(816) 728-8235
Mailing address
386 LARIMORE VALLEY DR, WILDWOOD, MO 63005-6226
(816) 728-8235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
301433
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
301433
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
08/05/2021
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