Heart Specialists of SE Ky Psc

NPI #1386752756 in Corbin, Kentucky

Provider Information

NPI Number: 1386752756
Entity Type: Organization
Organization Name: Heart Specialists of SE Ky Psc
Primary Specialty: Specialist
Enumeration Date: Aug 27, 2006
Last Updated: Jun 30, 2008

Practice Location

Address: 45 MOONBOW PLZ
City: Corbin
State: Kentucky
ZIP Code: 40701-8949
Phone: (606) 523-9010

Authorized Official

Name: JANIE RENEE OKUMA
Title: OFFICE MANAGER
Phone: (606) 523-9010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Specialist	174400000X	Primary

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