Kenneth Allen Korn, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9211407 Issued in FL

Practice address

1515 Old Bainbridge Rd
Tallahassee, FL 32303-5340

Phone

(850) 488-2223

Fax

(850) 414-7237

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538199047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 RUSSELS POND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323038916",
            "telephone_number": "850-562-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OLD BAINBRIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035340",
            "telephone_number": "850-488-2223",
            "fax_number": "850-414-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9211407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306360700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashli Shauntel Koonce
• John Harold Koonz, AUD
• Melissa Ann Kopaczewski, B.S.
• Ruth Chinedum Korie, MSW
• Kristin J Korinko, LMHC/BCBA
• Ashley Koroshec, LCSW
• Cindy Korte, MD
• Krista Koscik, M.S., CCC-SLP
• Michelle Noel Kostic, DNP
• Srikant Reddy Kothur, MS, LMHC

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.