Provider Demographics
NPI:1417754540
Name:CORBETT, KIRIAN
Entity type:Individual
Prefix:
First Name:KIRIAN
Middle Name:
Last Name:CORBETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 REDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4612
Mailing Address - Country:US
Mailing Address - Phone:443-622-0470
Mailing Address - Fax:
Practice Address - Street 1:935 REDFIELD RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4612
Practice Address - Country:US
Practice Address - Phone:443-622-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program