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Export Provider Record NPI 1134122468
Corbin Family Practice Clinic, Inc.
Organization Subpart: NO
Active
NPI Number1134122468
NPI TypeNPI-2 Organization
SpecialtyNurse Practitioner
Provider Details
NPI1134122468
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-05-31
Last Updated2020-08-22
Authorized OfficialRobert Carter
President
Phone: 6065280283
Mailing AddressPo Box 1125
Corbin, KY 40702-1125
United States
Phone: (606) 528-0283 | Fax: (606) 528-8422
📍 View Map
Primary Practice Address1400 Cumberland Falls Hwy, Ste C
Corbin, KY 40701-2739
United States
Phone: (606) 258-8787 | Fax: (606) 258-8788
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKY35-001502
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363L00000X – Nurse PractitionerKY2774P
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About NPI 1134122468

Corbin Family Practice Clinic, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1134122468. The primary specialty listed is Nurse Practitioner. The organization is located in Corbin, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134122468?

NPI 1134122468 belongs to Corbin Family Practice Clinic, Inc., a Nurse Practitioner in Corbin, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134122468 active?

The current status of NPI 1134122468 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1134122468?

NPI 1134122468 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134122468?

You can verify NPI 1134122468 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134122468?

The primary practice address on file for NPI 1134122468 is 1400 Cumberland Falls Hwy, Corbin, KY 40701-2739. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134122468 issued?

NPI 1134122468 was first issued (enumerated) on 2005-05-31. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Corbin Family Practice Clinic, Inc. is located at 1400 Cumberland Falls Hwy, Corbin, KY. Use the map below to find directions or verify the practice location.

📍 1400 Cumberland Falls Hwy, Corbin, KY 40701-2739  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Corbin Family Practice Clinic, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1134122468. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner2774PKY
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162