| Doctor Name: | MS. KATHY ANNE CORBO |
| NPI Number: | 1104156199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP3308452 |
| Business Practice Address: | 1064 Keene Rd Dunedin, FL - 346986300 |
| Business Phone Number: | 7277339202 |
| Business Fax Number: | 7277339202 |
| Mailing Address: | 1002 S Harbour Island Blvd, Unit #1610 TAMPA |
| State: | FL |
| Postal Code: | 336025781 |
| Phone Number: | 9415871386 |
| Fax Number: | 7277339233 |
| NPI Enumeration Date: | 01/13/2010 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | ARNP3308452 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |