Provider Demographics
NPI:1669792313
Name:KORKUS, VICTORIA I (CRNP)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:I
Last Name:KORKUS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-0525
Mailing Address - Country:US
Mailing Address - Phone:610-933-8000
Mailing Address - Fax:610-917-1326
Practice Address - Street 1:824 MAIN ST
Practice Address - Street 2:SUITE 307
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4478
Practice Address - Country:US
Practice Address - Phone:610-482-6500
Practice Address - Fax:610-482-6501
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010537207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine