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141 E. Cumberland Gap Pkwy. Corbin KY 40702 | |
(606) 528-1234 | |
(606) 528-2727 |
Full Name | |
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Speciality | Family Medicine |
Location | 141 E. Cumberland Gap Pkwy., Corbin, Kentucky |
Authorized Official Name and Position | Nikhil Sharad Parulekar (OWNER) |
Authorized Official Contact | 6065281234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 327 Corbin KY 40702-0327 Ph: (606) 528-1234 | 141 E. Cumberland Gap Pkwy. Corbin KY 40702 Ph: (606) 528-1234 |
NPI Number | 1851664353 |
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Provider Enumeration Date | 02/14/2012 |
Last Update Date | 02/14/2012 |
Identifier | Type | State | Issuer |
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1851664353 | NPI | - | NPPES |
64980022 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 02630 (Kentucky) | Primary |
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