Individual
JOHN FREDERICK KORFHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 451-4553
Mailing address
PO BOX 713350, CHICAGO, IL 60677-1392
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2546A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3002546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74485954
—
KY
Enumeration date
06/28/2006
Last updated
07/11/2023
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