Provider Demographics
NPI:1841612025
Name:SAUER, KORI A (APRN)
Entity Type:Individual
Prefix:
First Name:KORI
Middle Name:A
Last Name:SAUER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 SE DEBELL AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2305
Mailing Address - Country:US
Mailing Address - Phone:918-956-1125
Mailing Address - Fax:918-956-1126
Practice Address - Street 1:234 SE DEBELL AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2305
Practice Address - Country:US
Practice Address - Phone:918-956-1125
Practice Address - Fax:918-956-1126
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK86258363L00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner