Individual
KIM P CORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
64 SHORELINE DR, FLORENCE, OR 97439-8976
(541) 991-3151
(541) 991-3151
Mailing address
64 SHORELINE DR, FLORENCE, OR 97439-8976
(541) 991-3151
(541) 991-3151
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201140935RN
OR
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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