Provider Demographics
NPI:1740563592
Name:KORON, SARA R (MSOM, LAC, DIPL OM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:KORON
Suffix:
Gender:F
Credentials:MSOM, LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64171-8143
Mailing Address - Country:US
Mailing Address - Phone:816-804-0185
Mailing Address - Fax:
Practice Address - Street 1:506 N 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2929
Practice Address - Country:US
Practice Address - Phone:913-802-3940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010000776171100000X
KS23-00015171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist