Provider Demographics
NPI:1629689310
Name:KORN HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:KORN HEALTH SOLUTIONS, PLLC
Other - Org Name:VITALITY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KORN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:864-266-2413
Mailing Address - Street 1:343 ELM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4538
Mailing Address - Country:US
Mailing Address - Phone:775-470-6651
Mailing Address - Fax:
Practice Address - Street 1:343 ELM ST STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4538
Practice Address - Country:US
Practice Address - Phone:775-470-6651
Practice Address - Fax:775-622-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty