| Housewithtwostellas | |
|
376 Collins Ln Corbin KY 40701-8610 | |
| (606) 619-8459 | |
| Not Available |
| Full Name | Housewithtwostellas |
|---|---|
| Speciality | Family Medicine |
| Location | 376 Collins Ln, Corbin, Kentucky |
| Authorized Official Name and Position | Angel Henderson (OWNER) |
| Authorized Official Contact | 6066198459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Housewithtwostellas 376 Collins Ln Corbin KY 40701-8610 Ph: (606) 619-8459 | Housewithtwostellas 376 Collins Ln Corbin KY 40701-8610 Ph: (606) 619-8459 |
| NPI Number | 1700661980 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700661980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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