Organization
CORBIN PEDIATRIC ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON MITCHELL MAY MD (MANAGING PARTNER)
(606) 528-9700
Entity
Organization
Contact information
Practice address
60 BRYAN BOULEVARD, STE 200, CORBIN, KY 40701
(606) 528-9700
(606) 528-8423
Mailing address
60 BRYAN BOULEVARD, STE 200, CORBIN, KY 40701
(606) 528-9700
(606) 528-8423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
900173
KY
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100159920
—
KY
Enumeration date
10/03/2006
Last updated
08/13/2014
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