Provider Demographics
NPI:1275961179
Name:AUNER, KORI (LPN)
Entity Type:Individual
Prefix:
First Name:KORI
Middle Name:
Last Name:AUNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 KICKBUSCH ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-6234
Mailing Address - Country:US
Mailing Address - Phone:715-212-1994
Mailing Address - Fax:
Practice Address - Street 1:611 KICKBUSCH ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-6234
Practice Address - Country:US
Practice Address - Phone:715-212-1994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI306293-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse