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DEVIN LEE MICHAEL EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
45 MOONBOW PLZ, CORBIN, KY 40701
(606) 523-9010
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC714
KY

Other

Enumeration date
05/02/2018
Last updated
12/04/2020
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