NPI 1053024034
Amber Jordan
Practice location
- Address
- 10128 S US Highway 25, Corbin, KY 40701-4984
- Phone
- (606) 595-1500
- Mailing address
- PO Box 2602, Corbin, KY 40702-2602
Authorised official
- Name
- Amber Nicole Jordan
- Title
- Interventionist
- Phone
- (606) 595-1500
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1053024034
- Entity type
- Organization
- NPI issued
- 4 Jan 2023
- Record last updated
- 4 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.