Anesthesia Care of Corbin PSC

Organization Active NPI Anesthesiology Physician · Corbin, KY

NPI 1578754263 · NPPES record last updated Feb 26, 2008

Key facts

NPI
1578754263
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
ANESTHESIA CARE OF CORBIN PSC
Practice address
1 Trillium Way
Corbin, KY 40701-8426
Phone
(901) 892-7161
NPI assigned
Aug 7, 2007
Organization subpart
No

Authorized official

Name
Alan Dale Hilliard
Title
Cfo
Phone
(205) 322-1808

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8426

Mailing address

PO Box 10484
Birmingham, AL 35202-0484
Phone (205) 322-1808

Other identifiers

IdentifierTypeStateIssuer
C20399OtherKYCUMBERLAND HEALTHCARE
000000550848OtherKYANTHEM BCBS OF KENTUCKY

Other providers in Corbin, KY

All providers in Corbin, KY · Anesthesiology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.