Keith F. Korver, M.D., Inc.
LBN: Keith F. Korver, M.D., Inc.
Keith F. Korver, M.D., Inc. is an health care organization with primary practice located at 721 River Dr Ste A, Fort Bragg CA 95437-5402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty.
Keith F. Korver, M.D., Inc. can be contacted via phone (707) 573-6166, or through Korver, Keith Forrest via phone (707) 569-7860.
Contact Information
Primary practice address
721 River Dr Ste A
Fort Bragg CA 95437-5402
Phone: (707) 573-6166
Fax: (707) 573-6165
Website:
Authorized official contact:
Name: Korver, Keith Forrest Doctor of Medicine (MD)
Phone: (707) 569-7860
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1376598573 |
|---|---|
| LBN Legal business name | Keith F. Korver, M.D., Inc. |
| DBA Doing business as | |
| Authorized official | Korver, Keith Forrest Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 15th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376598573 | NPPES |
| California | MEDICAID | GR0090981 |
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