Doctor Name: | KORI LAINE LATHAM KIRKHOPE |
NPI Number: | 1033466545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.13558-NP |
Business Practice Address: | 1390 Pleasant Valley Dr Coshocton, OH - 438129137 |
Business Phone Number: | 7402955922 |
Business Fax Number: | |
Mailing Address: | 1330 Coshocton Ave, MOUNT VERNON |
State: | OH |
Postal Code: | 430501440 |
Phone Number: | 1405027398 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2012 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.13558-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |