Crab Orchard Family Practice Clinic, Inc.

NPI 1033112362 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033112362
Enumeration Date 05/31/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name ROBERT A. ROBERT
Position PRESIDENT
Phone (606) 355-7300
Fax (606) 355-7310
Practice Location
207 MAIN ST
CRAB ORCHARD KY, 40419-9697, US
Phone (606) 355-7300
Fax (606) 355-7310
Business Location
PO BOX 1125
CORBIN KY, 40702-1125, US
Phone (606) 528-0283
Fax (606) 528-8422
Toxanomy
Taxonomy Code 363L00000X
License State Kentucky
License Number 3630P
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According to our database, Crab Orchard Family Practice Clinic, Inc. NPI is 1033112362, taxonomy code is 363L00000X and license number is 3630P, license state is located at Kentucky. Crab Orchard Family Practice Clinic, Inc. physically located at 207 Main St, Crab Orchard KY, 40419-9697. NPI Number 1033115704 has the healthcare provider type.

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1033112362 NPI number is provided on an as is basis without warranty of any kind. 1033112362 is maintained by the National Plan & Provider Enumeration System. The contents of Crab Orchard Family Practice Clinic, Inc. are for informational purposes only.