Individual
KATHY G CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
804 N BEECH ST, TALLULAH, LA 71282-3809
(318) 238-1274
(337) 239-2225
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 357-2061
(318) 521-6086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850959
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121128
—
MS
Enumeration date
07/17/2006
Last updated
10/17/2020
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