Individual
TINA L KUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
(606) 528-7010
(606) 528-5401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252562
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100643500
—
KY
Enumeration date
06/27/2016
Last updated
04/14/2020
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