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Individual
BILLIE BARTLEY
Active
Individual
BILLIE BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527383
BCBS
KY
01
—
7100146710
MEDICAID PRIMARY CARE EKAHC
KY
05
—
950010200
—
KY
Enumeration date
04/12/2006
Last updated
01/26/2024
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