Individual
COREY LYNN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 532-1100
(740) 534-0029
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-9571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3016108
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026442
OH
Other
Enumeration date
08/04/2020
Last updated
06/10/2021
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