Mary Eleanor Harkleroad
Family Doctor Emergency Physician
411 S L Rogers Wells Blvd
Glasgow
, Kentucky 42141-1191
Mary Eleanor Harkleroad
Family Doctor Emergency Physician
411 S L Rogers Wells Blvd
Glasgow
, Kentucky 42141-1191
(270) 651-7796
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Mary Eleanor Harkleroad
- 411 S L Rogers Wells Blvd
- Glasgow, KY
- Zip : 42141-1191
- Phone : (270) 651-7796
Second Address
- Mary Eleanor Harkleroad
- 411 S L Rogers Wells Blvd
- Glasgow, KY
- Zip : 42141-1191
- Fax : (270) 651-7796
- Phone : (270) 651-7796
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 45808 | KY |
| N | 207Q00000X | Family Doctor | 053748 | GA |
| Y | 207Q00000X | Family Doctor | 45808 | KY |
National Provider Identifier
| NPI | 1003879586 |
|---|---|
| Provider Name | Mary Eleanor Harkleroad |
| First Address | Glasgow, KY 42141-1191 |
| Second Address | Glasgow, KY 42141-1191 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2006 |
| Last Update Date | 15/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7100220570 | (05) | KY |
| I12597 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.