Individual
DR. REBEKAH ELISE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 BRYAN BLVD, SUITE 200, CORBIN, KY 40701-2779
(606) 528-9700
(606) 528-8423
Mailing address
60 BRYAN BLVD, SUITE 200, CORBIN, KY 40701-2779
(606) 528-9700
(606) 528-8423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100155050
—
KY
Enumeration date
03/25/2008
Last updated
09/12/2014
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