Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 14329 | KY |
NPI | 1215910906 |
---|---|
Provider Name | Dr. John Y. Barbee JR. |
First Address | Bloomfield, KY 40008-0507 |
Second Address | Bloomfield, KY 40008-0507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 31/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C74970 | (02) |