Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 45520 | KY |
N | 207PE0004X | Emergency Medical Services | TRN13698 | FL |
NPI | 1073748166 |
---|---|
Provider Name | Dr. Casey Allison Corbit |
First Address | Jacksonville, FL 32207-7850 |
Second Address | Bardstown, KY 40004-9019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 02/10/2012 |