Individual
ARDEN M ACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 ROY KIDD AVE, CORBIN, KY 40701-1302
(606) 528-7400
(606) 528-7449
Mailing address
PO BOX 545, CORBIN, KY 40702-0545
(606) 528-7400
(606) 528-7449
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-032691
—
KY
Enumeration date
08/09/2006
Last updated
07/08/2007
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