Individual
MARIA C. ATIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 ROY KIDD AVE, CORBIN, KY 40701-1302
(606) 528-7400
(606) 528-7449
Mailing address
PO BOX 545, CORBIN, KY 40702-0545
(606) 528-7400
(606) 528-7449
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
34293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-010051
—
KY
Enumeration date
08/09/2006
Last updated
07/08/2007
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