Healthcare Provider Details

I. General information

NPI: 1386748739
Provider Name (Legal Business Name): WOMENS HEALTH ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRILLIUM WAY STE 200
CORBIN KY
40701
US

IV. Provider business mailing address

1 TRILLIUM WAY STE 200
CORBIN KY
40701
US

V. Phone/Fax

Practice location:
  • Phone: 606-528-5527
  • Fax: 606-526-9687
Mailing address:
  • Phone: 606-528-5527
  • Fax: 606-526-9687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YVON PARENT
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 606-528-5527