Jonathon Russell Korth

NPI #1942925516 in Humphrey, Nebraska

Provider Information

NPI Number: 1942925516
Entity Type: Individual
Name: Jonathon Russell Korth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 6, 2022
Last Updated: Mar 1, 2023

Practice Location

Address: 46439 275 AVE
City: Humphrey
State: Nebraska
ZIP Code: 68642-5003
Phone: (402) 920-2926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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