Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 38679 | TN |
N | 207P00000X | Emergency Physician | 40045 | KY |
N | 207Q00000X | Family Doctor | 38679 | TN |
Y | 207Q00000X | Family Doctor | 40045 | KY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 40045 | KY |
N | 207R00000X | Internist | 40045 | KY |
N | 111NI0900X | Internist | 40045 | KY |
NPI | 1619917796 |
---|---|
Provider Name | Barton Kenleigh Spurlin |
First Address | Bowling Green, KY 42101-1760 |
Second Address | Bowling Green, KY 42101-1760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3325558 | (05) | TN |
7100004230 | (05) | KY |
I21406 | (02) | TN |