Individual
COLLEEN MARIE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DACM
Contact information
Practice address
800 ROSE ST STE 306, LEXINGTON, KY 40536-7001
(859) 323-4325
Mailing address
147 WESTGATE DR, LEXINGTON, KY 40504-1416
(859) 971-3499
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TAC114
KY
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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