Healthcare Provider Details

I. General information

NPI: 1215851985
Provider Name (Legal Business Name): KORI CHERNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KORI KILDE

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 E 38TH ST STE 205
DAVENPORT IA
52807-1179
US

IV. Provider business mailing address

2240 9TH ST
CORALVILLE IA
52241-1575
US

V. Phone/Fax

Practice location:
  • Phone: 319-800-5564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138213
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: