Individual
MARY ELEANOR HARKLEROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
(270) 651-7796
(270) 651-7796
Mailing address
411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
(270) 651-7796
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45808
KY
207Q00000X
Family Medicine Physician
053748
GA
207Q00000X
Family Medicine Physician
Primary
45808
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100220570
—
KY
Enumeration date
04/07/2006
Last updated
01/15/2021
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