Kenneth W Korey MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KENNETH W KOREY MD PA

Practice address

1022 Florida Ave S
Suite 1
Rockledge, FL 32955-2145

Phone

(321) 636-8241

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Wayne Korey, M D

Title

President

Phone

(321) 636-8241

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1639232176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FLORIDA AVE S",
            "address_2": "SUITE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552145",
            "telephone_number": "321-636-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 FLORIDA AVE S",
            "address_2": "SUITE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552145",
            "telephone_number": "321-636-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W KOREY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KOREY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-636-8241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057749900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "407113416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "15359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Adam Kendrick, ARNP
• Colin Frank Kennedy, PA-C
• Jillian Kennedy
• John C Kennedy, M.D.
• Renee Nicole Kennedy, DPT
• Elizabeth M Kent, PHARMD
• Madison Kenworthy
• Amanda Grace Kenyon, OTA
• Daniel Paul Kenyon, CRNFA
• Samantha Lynn Kern

• All providers in Rockledge, FL
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.