Individual
DR. PRIMILINA A CORPUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-9701
(270) 831-7818
Mailing address
PO BOX 934, HENDERSON, KY 42419-0934
(270) 827-9701
(270) 831-7818
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17829
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64178296
—
KY
Enumeration date
03/01/2006
Last updated
07/08/2007
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