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General NPI Number Information
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NPI Number | 1063069284
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Entity Type | Individual
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Provider Name | KORENA MARIE KATHERINE KEMERLING APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1200 EVERETT DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5047
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Country | US
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Telephone | 405-271-5215
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Fax | 405-271-1236
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Provider Business Mailing Address
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Address Line | E9674 COUNTY ROAD SS
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City | VIROQUA
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State | WI
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Zip | 54665-7155
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Country | US
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Telephone | 608-386-8463
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 222289
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 11387
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 6956
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License Number State | MN
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