Individual
DR. CYNTHIA ELAM CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
112 N ALLISON AVE, BARBOURVILLE, KY 40906-1335
(606) 546-2200
(606) 546-2709
Mailing address
25 HAPPY DAY RD, BARBOURVILLE, KY 40906-7255
(606) 546-3160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1509DT
KY
152WC0802X
Corneal and Contact Management Optometrist
1509DT
KY
152WP0200X
Pediatric Optometrist
1509DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351743
ANTHEM BC AND BS
KY
01
—
428-93
BLUEGRASS FAMILY HEALTH
KY
05
—
77000453
—
KY
Enumeration date
03/16/2007
Last updated
12/06/2007
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