# UNIVERSITY OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phyllis D Corbitt Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043600349
- **Authorized official:** AMY DELRE (CLINICAL COORDINATOR)
- **Authorized official phone:** (859) 323-7581

## Contact information

- **Practice address:** 317 E MAIN ST, WILMORE, KY 40390-1323
- **Practice address phone:** (859) 323-7851
- **Mailing address:** 369 PETERSON SERVICE BLDG, LEXINGTON, KY 40506-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015