Organization
HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P A CORPUS MD (MEDICAL DIRECTOR PATHOLOGY SERVICES)
(270) 827-9701
Entity
Organization
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420
(270) 827-9701
(270) 883-1781
Mailing address
PO BOX 934, 1228 N ELM ST, HENDERSON, KY 42420
(270) 827-5399
(270) 827-5327
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65905382
—
KY
Enumeration date
04/13/2007
Last updated
05/08/2020
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