Individual
CORY BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6114
(570) 808-6362
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
SP020687
PA
363L00000X
Nurse Practitioner
SP020687
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020687
PA
Other
Enumeration date
08/16/2019
Last updated
01/21/2025
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