MEDICARE: KATLYNN COMBS

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	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1659259745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATLYNN COMBS

Provider Business Mailing Address
First Line	:	130 SOUTHERN SCHOOL RD
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501-3223
Country	:	US
Telephone Number	:	606-679-4782
Fax Number	:	606-678-5296

Provider Business Practice Location Address
First Line	:	90 MEDICAL LN
Second Line	:
City	:	WHITLEY CITY
State	:	KY
Zip	:	42653-4216
Country	:	US
Telephone Number	:	606-376-2466
Fax Number	:	606-376-3467

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	05/14/2026

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1255314159 — TAMMIE L EMERSON-JOHNSON FNP
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1982687893 — STEPHANIE CASH-SMITH FNP
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Directions to “ KATLYNN COMBS ” Practice Location

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