Organization
KENNETH W KOREY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE KOREY M D (PRESIDENT)
(321) 636-8241
Entity
Organization
Contact information
Practice address
1022 FLORIDA AVE S, SUITE 1, ROCKLEDGE, FL 32955-2145
(321) 636-8241
Mailing address
1022 FLORIDA AVE S, SUITE 1, ROCKLEDGE, FL 32955-2145
(321) 636-8241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057749900
—
FL
01
—
15359
BLUE CROSS BLUE SHIELD FL
FL
01
—
407113416
RAILROAD MEDICARE
FL
Enumeration date
12/18/2006
Last updated
02/29/2008
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