Healthcare Provider Details

I. General information

NPI: 1790714293
Provider Name (Legal Business Name): BARRY A KORN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 BENT CREEK DR
LITITZ PA
17543-8352
US

IV. Provider business mailing address

705 BENT CREEK DR
LITITZ PA
17543-8352
US

V. Phone/Fax

Practice location:
  • Phone: 215-431-9265
  • Fax:
Mailing address:
  • Phone: 215-431-9265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOS007734L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: