Individual
DR. MARK LEE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1261 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6937
(502) 434-3809
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
27120
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64271208
—
KY
Enumeration date
06/23/2005
Last updated
03/01/2021
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