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NPI Code Detail

MEDICARE: SLEEP DISORDERS CENTER OF LONDON & CORBIN, PLLC

MEDICARE: SLEEP DISORDERS CENTER OF LONDON & CORBIN, PLLC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center730086KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00138970OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902853518
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DISORDERS CENTER OF LONDON & CORBIN, PLLC
Provider Business Mailing Address
First Line : 3121 WALL ST
Second Line : SUITE 200
City : LEXINGTON
State : KY
Zip : 40513-9007
Country : US
Telephone Number : 859-223-9990
Fax Number : 859-219-9454
Provider Business Practice Location Address
First Line : 95 BRYAN BLVD
Second Line : SUITE 102
City : CORBIN
State : KY
Zip : 40701-2775
Country : US
Telephone Number : 606-528-8144
Fax Number : 606-528-2669
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. JAMES M THOMPSON
Credential : M.D.
Telephone Number : 859-223-9990
Provider Enumeration Date : 05/28/2006
Last Update Date : 12/27/2007

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Directions to “SLEEP DISORDERS CENTER OF LONDON & CORBIN, PLLC ” Practice Location

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