Provider Demographics
NPI:1538252937
Name:CORBIN, MURRAY D (MD)
Entity type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:D
Last Name:CORBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12408
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-0408
Mailing Address - Country:US
Mailing Address - Phone:913-299-1394
Mailing Address - Fax:913-299-2208
Practice Address - Street 1:1601 MEADOWLARK LN
Practice Address - Street 2:SUITE A
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1266
Practice Address - Country:US
Practice Address - Phone:913-299-1394
Practice Address - Fax:913-299-2208
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0413510207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
05049081OtherBCBS KANSAS CITY
05049081OtherBCBS KANSAS CITY
C622468Medicare ID - Type UnspecifiedKANSAS CITY