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NPI Code Detail

MEDICARE: MR. HENRY WARREN KORT M.D.

MEDICARE:  MR. HENRY WARREN KORT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology Physician35771WV
22080P0202XPediatric Cardiology PhysicianL8097TX
32080P0202XPediatric Cardiology Physician1016584MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
30099AZOTHERTXMEDICARE GROUP #

Other Identifiers

General Provider Information

NPI Number : 1326001504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HENRY WARREN KORT M.D.
Provider Business Mailing Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 681-342-2133
Fax Number : 304-842-2333
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 855-988-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 09/22/2025

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Directions to “ MR. HENRY WARREN KORT M.D.” Practice Location

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