# KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679763049
- **Authorized official:** PHILLIP BALE (OWNER AND PHYSICIAN)
- **Authorized official phone:** (270) 670-8777

## Contact information

- **Practice address:** 1214 N RACE ST, SUITE B, GLASGOW, KY 42141-3462
- **Practice address phone:** (270) 670-8777
- **Mailing address:** 1214 N RACE ST, SUITE B, GLASGOW, KY 42141-3462
- **Mailing address phone:** (270) 670-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 04/17/2009