Shannon J Korth, PA-C

NPI #1083107973 in Lincoln, Nebraska

Provider Information

NPI Number: 1083107973
Entity Type: Individual
Name: Shannon J Korth, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 14, 2018
Last Updated: Jun 14, 2018

Practice Location

Address: 4130 PIONEER WOODS DR STE 1
City: Lincoln
State: Nebraska
ZIP Code: 68506-7552
Phone: (402) 489-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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