Individual
CANDICE J FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2867 CUMBERLAND FALLS HWY, CORBIN, KY 40701-8848
(606) 523-5402
(606) 523-5257
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013998
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100633790
—
KY
Enumeration date
10/29/2019
Last updated
09/22/2022
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