Individual
COREY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
233 PARKERS MILL WAY, SOMERSET, KY 42503-4152
(606) 485-4450
Mailing address
2801 RINGGOLD RD, SOMERSET, KY 42503-3946
(629) 215-6356
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
02/06/2025
Last updated
10/08/2025
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