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Individual

MRS. AMY COBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1007 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2714
(606) 528-0305
(606) 523-4368
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004098
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000360920
ANTHEM
KY
05
78010626
KY
01
K158120
MEDICARE PTAN
KY
01
P01380422
RR MEDICARE
KY
Enumeration date
01/10/2006
Last updated
12/02/2020
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