ELENA KORNIYCHUK M.D. NPI 1932310661

NPI Information

NPI: 1932310661
Provider Name: ELENA KORNIYCHUK, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
10400 75TH ST
SUITE 315
KENOSHA, WI
ZIP 53142
Phone: (262) 948-7815
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Elena Korniychuk, M.D. is a neurology psychiatry neurology in Kenosha, WI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Elena Korniychuk, M.D. NPI is 1932310661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10400 75TH ST
SUITE 315
KENOSHA, WI
ZIP 53142-884
Phone: (262) 948-7815
Fax: (262) 948-7816

The enumeration date for this NPI number is 5/24/2007 and was last updated on 11/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	54938-20	WISCONSIN	No
2	2084N0400X	Psychiatry & Neurology	Neurology	54938-20	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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