Individual
PEYTON TREY COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6161
Mailing address
780 ROSE ST, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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