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Patricia Corzine
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NPI Number Detailed Information
Provider Information:
| Name: | Patricia Corzine |
| Gender: | F |
| Provider License Number If Given: | 71001325 |
NPI Information:
| NPI: | 1669466165 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 5/16/2016 |
Provider Business Mailing Address:
| Address: | 1263 HOSPITAL DR NW SUITE 110 Corydon, IN 47112 |
| Phone Number: | 8127340912 |
| Fax Number: | 8127388715 |
Provider Business Practice Location Address:
| Address: | 315 E BROADWAY Louisville, KY 40202 |
| Phone Number: | 5026292500 |
| Fax Number: | 5026292055 |
Provider Taxonomy:
| Primary: | 363L00000X |
| Secondary (if any): | |
| State: | KY |
