Individual
CHARLES BOBBY PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, ITAT
Contact information
Practice address
103 S PINE ST, PINEVILLE, KY 40977-1610
(606) 254-2075
Mailing address
98 TURKEY CREEK RD, PINEVILLE, KY 40977-7894
(606) 670-2700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1177
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT117
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
12/08/2017
Last updated
12/08/2017
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