Kentucky Center for the Prevention of Heart Attack Stoke and Diabetes

NPI #1679763049 in Glasgow, Kentucky

Provider Information

NPI Number: 1679763049
Entity Type: Organization
Organization Name: Kentucky Center for the Prevention of Heart Attack Stoke and Diabetes
Primary Specialty: Family Medicine
Enumeration Date: Jul 31, 2007
Last Updated: Apr 17, 2009

Practice Location

Address: 1214 N RACE ST
Address 2: SUITE B
City: Glasgow
State: Kentucky
ZIP Code: 42141-3462
Phone: (270) 670-8777

Authorized Official

Name: PHILLIP BALE
Title: OWNER AND PHYSICIAN
Phone: (270) 670-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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