Individual
MS. ANACLARE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 528-9770
(606) 528-9769
Mailing address
2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5132
(502) 253-4914
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2717P
KY
363LF0000X
Family Nurse Practitioner
Primary
3002717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000035864
ANTHEM
KY
01
—
00000045560
ANTHEM BC
KY
01
—
500012378
RR MEDICARE
KY
05
—
78002516
—
KY
Enumeration date
07/15/2006
Last updated
12/03/2015
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