Individual
DR. JOANNE D. CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
RR 1 BOX 173 KINGDOM COME PARKWAY, PINEVILLE, KY 40977
(606) 337-9955
(606) 337-7926
Mailing address
HC 86 BOX 1225, STONEY FORK, KY 40988-9603
(606) 337-8115
(606) 337-8115
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14779
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64147796
—
KY
Enumeration date
05/18/2007
Last updated
07/08/2007
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