NPI 1407044217 · live from the CMS NPI Registry
Baptist Physicians Southeast, INC.
Family Medicine in Corbin, KY. National Provider Identifier 1407044217, active.
NPI record
| NPI | 1407044217 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1 Trillium Way, Corbin, KY 40701 |
| Practice phone | 606-526-8131 |
| Mailing address | Po Box 1325, Corbin, KY 40702 |
| Enumerated | October 5, 2007 |
| Last updated | September 25, 2014 |
| Authorized official | Larry Gray, President/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5263P (KY) |
| Clinic/Center, Primary Care | 261QP2300X | 700214 (KY) |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Physician Assistant | 363A00000X | — (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Clinic/Center, Rural Health | 261QR1300X | 900027 (KY) |
| Social Worker, Clinical | 1041C0700X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Surgery | 208600000X | — |
| Urology | 208800000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.