Individual
KRISTEN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 523-2206
Mailing address
60 S STEWART RD, CORBIN, KY 40701-4675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015508
KY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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