Organization Name: | WOMEN'S WELLNESS CENTER OF CORBIN, PLLC |
NPI Number: | 1265638076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY EDWARD TAYLOR (PHYSICIAN) |
Mailing Address: | 1705 Forest Dr Corbin |
State: | KY US |
Postal Code: | 407012354 |
Phone Number: | 6065289772 |
Fax Number: | 6065289242 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 23230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |