Provider Demographics
NPI:1982479697
Name:AUGENSTEIN, KORA
Entity Type:Individual
Prefix:
First Name:KORA
Middle Name:
Last Name:AUGENSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 KIBBY DR APT D
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8164
Mailing Address - Country:US
Mailing Address - Phone:614-563-6543
Mailing Address - Fax:
Practice Address - Street 1:830 KIBBY DR APT D
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8164
Practice Address - Country:US
Practice Address - Phone:614-563-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care