JOSEPH TYE PREWITT NPI 1740538966

NPI Information

NPI: 1740538966
Provider Name: JOSEPH TYE PREWITT

Other Name: BAPTIST CARDIOLOGY OF CORBIN

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
15 MOONBOW PLZ
CORBIN, KY
ZIP 40701
Phone: (606) 528-5331
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JOSEPH TYE PREWITT is a medical physician assistant in Corbin, KY. JOSEPH TYE PREWITT NPI is 1740538966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Baptist Cardiology Of Corbin.

The provider's business location address is:

15 MOONBOW PLZ
CORBIN, KY
ZIP 40701-949
Phone: (606) 528-5331
Fax: (606) 528-3223

The provider's authorized official is Chawntay Gilmore .
The authorized official title is Billing Office Manager and has the following contact phone number (606) 526-8122.

The enumeration date for this NPI number is 8/20/2012 and was last updated on 8/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	TC127	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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