Individual provider · Type 1 NPI

Kori Angela Hennebry, MPH, PA-S

Physician Assistant · Fargo, ND

NPI number 1902750458 Active

Practice location

3565 Harrison St S
Fargo, ND 58104-6998

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902750458

Kori Angela Hennebry, MPH, PA-S's National Provider Identifier is 1902750458, issued on Feb 23, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fargo, ND. The record was last updated on Feb 23, 2026.