Tonya Coburn is a Medical in Versailles, Kentucky. Tonya Coburn practices all healthcare services and medical treatments related to Medical. The NPI Number for Tonya Coburn is 1639170590. The last update date is 2022-06-09.
Tonya Coburn's current location address is 460 Wilson Ave, Versailles, Kentucky. You can contact this provider via phone number 8598790111 and fax number 8598790363. The mailing address for Tonya Coburn is 460 Wilson Ave, Versailles, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonya Coburn |
|---|---|
| Address | 460 Wilson Ave, Versailles, Kentucky |
| Phone Number | 8598790111 |
| Fax Number | 8598790363 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1639170590 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2022-06-09 |
Provider Mailing Address Detail
| Address | 460 Wilson Ave |
|---|---|
| City | Versailles |
| State | Kentucky (KY) |
| Post Code | 403831947 |
| Phone Number | 8598790111 |
| Fax Number | 8598790363 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA452 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95004529 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tonya Coburn by the Centers for Medicare & Medicaid Services (CMS)?
The Tonya Coburn has been assigned the NPI (National Provider Identifier) 1639170590. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Tonya Coburn's facilities are geographically located?
The facilities of Tonya Coburn are physically situated at the following location: 460 Wilson Ave, Versailles, KY, 403831947.
What is Tonya Coburn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tonya Coburn is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639170590 to Tonya Coburn?
The Tonya Coburn received its 1639170590 assignment from the Centers for Medicare & Medicaid Services on 2005-08-02.
As of what date were the Tonya Coburn's details last updated?
The information pertaining to the Tonya Coburn, including its address, specialty, and other details, was most recently updated on 2022-06-09.
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