MEDICARE: KEIONA CORBIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1174960397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEIONA CORBIN

Provider Business Mailing Address
First Line	:	4105 THOMAS PATRICK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8943
Country	:	US
Telephone Number	:	702-752-8608
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 THOMAS PATRICK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8943
Country	:	US
Telephone Number	:	702-752-8608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	05/29/2013

Similar Medicare Providers

1760814669 — MR. TYRAL DUSHON PERRY
Practice Location Address:

4105 THOMAS PATRICK AVE
NORTH LAS VEGAS, NV
89032-8943

Practice Phone: 973-419-3596
Practice Fax:

1740203561 — DR. JOHN A PIENKOS CH
Practice Location Address:

205 HWY 17 NORTH , STE A
NORTH MYRTLE BEACH, SC
29582-8943

Practice Phone: 843-280-7533
Practice Fax: 843-357-1471

1053424119 — ALLIED HLTH CTR OF N MYRTLE BEACH
Practice Location Address:

205 HWY 17 NORTH , STE A
NORTH MYRTLE BEACH, SC
29582-8943

Practice Phone: 843-280-7533
Practice Fax: 843-357-1471

1174758064 — DR. JAIME LYNN SHAVER D.C.
Practice Location Address:

205 HIGHWAY 17 N STE A
NORTH MYRTLE BEACH, SC
29582-8943

Practice Phone: 843-655-3528
Practice Fax: 843-280-2089

1275800740 — DR. EVAN SCOTT GRAINGER D.C.
Practice Location Address:

205 HIGHWAY 17 N , SUITE A
NORTH MYRTLE BEACH, SC
29582-8943

Practice Phone: 843-663-3377
Practice Fax: 843-280-2089

1053253211 — VINCENT ALEXANDER AGREDO
Practice Location Address:

2535 W CHEYENNE AVE
NORTH LAS VEGAS, NV
89032-8929

Practice Phone: 702-405-8088
Practice Fax:

Directions to “ KEIONA CORBIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.