Korver, Keith Forrest

Korver, Keith Forrest is an individual health care provider with primary practice located at 3510 Unocal Pl Ste 207 , Santa Rosa CA 95403-0918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Korver, Keith Forrest can be contacted via phone (707) 569-7860.

Contact Information

Primary practice address
3510 Unocal Pl Ste 207 Santa Rosa CA 95403-0918
Phone: (707) 569-7860
Fax: (707) 545-5408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G52235 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G52235 California

Profile Details

NPI number 1316946130
LBN Legal business name Korver, Keith Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316946130 NPPES
California MEDICAID 00G522350
California Other 00G522350

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