Crab Orchard Family Practice Clinic, Inc.
Crab Orchard Family Practice Clinic, Inc. is a health care provider in Corbin, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 207 Main St, Crab Orchard, KY 40419-9697, US |
|Practice Location Phone||606-355-7300|
|Practice Location Fax||606-355-7310|
|Legal Business Name||CRAB ORCHARD FAMILY PRACTICE CLINIC, INC.|
|Enumeration Date ? ||May 31, 2005|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Crab Orchard Family Practice Clinic, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|| ||3630P||Kentucky|
Legacy Provider IDs of Crab Orchard Family Practice Clinic, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Crab Orchard Family Practice Clinic, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Crab Orchard Family Practice Clinic, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Robert A. Carter|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||606-528-0283|