Individual
CORY PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000180432
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3010698
KY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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