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NPI Code Detail

MEDICARE: KIERRA CORBIN

MEDICARE: KIERRA 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
1363LF0000XFamily Nurse PractitionerNP273002GA

General Provider Information

NPI Number : 1639018633
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERRA CORBIN
Provider Business Mailing Address
First Line : 1018 WILLOW LAKE RD
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-6728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2054 WATSON BLVD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31093-3634
Country : US
Telephone Number : 478-918-0770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ KIERRA CORBIN ” Practice Location

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