Healthcare Provider Details

I. General information

NPI: 1740575984
Provider Name (Legal Business Name): CHRISTOPHER D FRISCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ALLISON BLVD
CORBIN KY
40701-7964
US

IV. Provider business mailing address

200 ALLISON BLVD
CORBIN KY
40701-7964
US

V. Phone/Fax

Practice location:
  • Phone: 606-528-9993
  • Fax: 606-528-9993
Mailing address:
  • Phone: 606-528-9993
  • Fax: 606-528-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number51864
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number55280
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: