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NPI 1700661980ActiveOrganization· Family Medicine· Corbin, KY

Family Medicine in Corbin, Kentucky, registered in NPPES in August 2023. The authorized official on file is Angel Henderson, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1700661980
StatusActive
Entity typeOrganization
NPI issuedAug 28, 2023
Last updated in NPPESAug 28, 2023
Certified by providerAug 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (KY)

Medicare sources and data years

Other Family Medicine providers in Corbin

All Family Medicine providers in Kentucky →