Provider Demographics
NPI:1407530561
Name:CHIN, KORI (BCHHP)
Entity Type:Individual
Prefix:MRS
First Name:KORI
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:BCHHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 RITTENOUR RD
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-1757
Mailing Address - Country:US
Mailing Address - Phone:907-631-1054
Mailing Address - Fax:
Practice Address - Street 1:6708 TAYLOR CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3411
Practice Address - Country:US
Practice Address - Phone:907-631-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach