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KORI ANGELA HENNEBRY MPH, PA-S
NPI 1902750458
Physician Assistant in Fargo, ND

Active since February 23, 2026
3565 HARRISON ST S, FARGO, ND 58104(701) 238-7723 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kori Angela Hennebry Mph, Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORI ANGELA HENNEBRY MPH, PA-S (NPI 1902750458) is an individual physician assistant in Fargo, North Dakota and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1902750458
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKORI ANGELA HENNEBRYCredential: MPH, PA-S
Location Address3565 HARRISON ST SFargo, ND 58104-6998
Mailing Address3565 Harrison St SFargo, ND 58104-6998
Phone(701) 238-7723
Sole ProprietorNo
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1902750458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3565 HARRISON ST S, Fargo, ND 58104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kori Hennebry's NPI number?

The NPI number for Kori Hennebry is 1902750458. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Kori Hennebry located?

Kori Hennebry practices at 3565 Harrison St S, Fargo, ND 58104. The listed phone number is (701) 238-7723.

What is Kori Hennebry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kori Hennebry was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.