Mary Kathleen Corbett, MD
Family Medicine in Lakewood, OH. Individual provider (NPI-1).
NPI number1376861930
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1376861930
- Entity type
- Individual (NPI-1)
- Name
- Mary Kathleen Corbett
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2010
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35.121137 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11851 Detroit AveLakewood, OH 44107-3016
Phone 216-529-7125
Mailing address
11851 Detroit AveLakewood, OH 44107-3016
Phone 216-529-7125
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