Organization · Type 2 NPI
Corbin Pediatric Associates PSC
Rural Health Clinic/Center · Corbin, KY
NPI number
1609960830
Active
Practice location
60 Bryan Boulevard, Ste 200
Corbin, KY 40701
Fax (606) 528-8423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | 900173 (KY) |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
Rural Health Clinic/Center: Definition to come...
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About NPI 1609960830
Corbin Pediatric Associates PSC's National Provider Identifier is 1609960830, issued on Oct 3, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Corbin, KY. The record was last updated on Aug 13, 2014.