Individual
AVA BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 SPRUCE ST, CORBIN, KY 40701-1957
(509) 720-4199
Mailing address
1406 SPRUCE ST, CORBIN, KY 40701-1957
(509) 720-4199
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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