Provider Demographics
NPI:1497980445
Name:SLEEP DISORDERS CENTER OF CORBIN
Entity Type:Organization
Organization Name:SLEEP DISORDERS CENTER OF CORBIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WESTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-223-9990
Mailing Address - Street 1:3121 WALL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-9007
Mailing Address - Country:US
Mailing Address - Phone:859-223-9990
Mailing Address - Fax:859-219-9454
Practice Address - Street 1:95 BRYAN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2788
Practice Address - Country:US
Practice Address - Phone:606-528-8144
Practice Address - Fax:606-528-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY730086261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic