Individual
COLLIN TREVOR DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025039795
MO
207R00000X
Internal Medicine Physician
Primary
56335
KY
207R00000X
Internal Medicine Physician
R77320
AZ
Other
Enumeration date
04/11/2019
Last updated
12/01/2025
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