Korkor, Khalil B

Korkor, Khalil B is an individual health care provider with primary practice located at 4124 Munson St Nw Suite A, Canton OH 44718-2979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Korkor, Khalil B can be contacted via phone (330) 492-6662.

Contact Information

Primary practice address
4124 Munson St Nw Suite A Canton OH 44718-2979
Phone: (330) 492-6662
Fax: (330) 492-6918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35046973 Ohio

Profile Details

NPI number 1326027376
LBN Legal business name Korkor, Khalil B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326027376 NPPES
Ohio Other 341712626027 CARESOURCE
Ohio Other P52523509 CARESOURCE
Ohio MEDICAID 0559819 CARESOURCE
Ohio Other 000000137194 CARESOURCE
Ohio Other 341712626002 CARESOURCE

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