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Individual

CODY DURBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7125
(270) 737-4715
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4025038
KY
363LF0000X
Family Nurse Practitioner
Primary
4025038
KY

Other

Enumeration date
12/09/2024
Last updated
10/02/2025
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