Organization · Type 2 NPI

White Owl Recovery

Addiction Medicine (Psychiatry & Neurology) Physician · Corbin, KY

NPI number 1043950322 Active

Practice location

8699 S US Highway 25
Corbin, KY 40701-4973

Mailing address

1024 Greendale Rd Unit 2103
Lexington, KY 40511-8320

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1043950322

White Owl Recovery's National Provider Identifier is 1043950322, issued on Apr 1, 2022. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Corbin, KY. The record was last updated on Apr 1, 2022.