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Individual

MRS. GLENDA DARLENE BAGBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC, MSN, CEN

Contact information

Practice address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
(270) 299-2157
Mailing address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
(270) 299-2157

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4331P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78012515
KY
Enumeration date
11/17/2005
Last updated
09/16/2016
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