# CORBIN FAMILY PRACTICE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619921756
- **Authorized official:** ROBERT A. CARTER JR. (PRESIDENT)
- **Authorized official phone:** (606) 528-0283

## Contact information

- **Practice address:** 1400 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2739
- **Practice address phone:** (606) 258-8787
- **Practice address fax:** (606) 258-8788
- **Mailing address:** PO BOX 1125, CORBIN, KY 40702-1125
- **Mailing address phone:** (606) 528-0283
- **Mailing address fax:** (606) 528-8422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 900141 | KY | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 35001353 | — | KY |