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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.

physician-icon Basic Information

Practice Location 207 Main St, Crab Orchard, KY 40419-9697, US
Practice Location Phone606-355-7300
Practice Location Fax606-355-7310
Legal Business NameCRAB ORCHARD FAMILY PRACTICE CLINIC, INC.
NPI ?1033112362
Entity TypeOrganization
Enumeration Date ? May 31, 2005
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Crab Orchard Family Practice Clinic, Inc.

SpecialtySpecializationLicenseLicense State
Nurse Practitioner 3630PKentucky

legacy-id-icon Legacy Provider IDs of Crab Orchard Family Practice Clinic, Inc.

Provider IdIssuer StateIssuer TypeIssuer
35-001353KentuckyMedicaid

official-icon 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/PositionPRESIDENT
Authorized Official Phone Number606-528-0283