NPI 1609960830 · live from the CMS NPI Registry
Corbin Pediatric Associates Psc
Clinic/Center, Rural Health in Corbin, KY. National Provider Identifier 1609960830, active.
NPI record
| NPI | 1609960830 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rural Health 261QR1300X |
| Practice location | 60 Bryan Boulevard, Ste 200, Corbin, KY 40701 |
| Practice phone | 606-528-9700 |
| Enumerated | October 3, 2006 |
| Last updated | August 13, 2014 |
| Authorized official | Vernon May, Managing Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Registered Nurse | 163W00000X | — |
| Pediatrics | 208000000X | — |
| Clinic/Center, Rural Health primary | 261QR1300X | 900173 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.