Individual
KRUPA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 E CUMBERLAND GAP PKWY, CORBIN, KY 40701-2574
(606) 258-7980
Mailing address
990 E CUMBERLAND GAP PKWY, CORBIN, KY 40701-2574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015533
KY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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