SearchKentucky363AM0700X

Tonya Coburn, P.A.-C

NPI 1639170590 · on the registry since 2005

Practice

Address
460 Wilson Ave
Versailles, KY 40383
Phone
(859) 879-0111
Fax
(859) 879-0363
Organisation at this address
Revitalize Counseling Services
Versailles Family Medicine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky