Individual
GLENDA C BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 S FLOYD ST, SUITE 700, LOUISVILLE, KY 40202-1835
(502) 899-6907
(502) 899-6905
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169310
—
IN
05
—
7100241860
—
KY
01
—
K135330
MEDICARE
KY
Enumeration date
04/29/2013
Last updated
01/12/2021
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