Organization
AMBER JORDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE JORDAN (INTERVENTIONIST)
(606) 595-1500
Entity
Organization
Contact information
Practice address
10128 S US HIGHWAY 25, CORBIN, KY 40701-4984
(606) 595-1500
Mailing address
PO BOX 2602, CORBIN, KY 40702-2602
(606) 595-1500
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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