Crab Orchard Family Practice Clinic 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|
|Enumeration Date ?||May 16, 2006|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians||900152||Kentucky|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Crab Orchard Family Practice Clinic'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|