Individual
JOSEPH GLENN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 MAYFAIR DR, SUITE 409, OWENSBORO, KY 42301-4568
(270) 417-7980
(270) 417-7989
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28397
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201274850
—
IN
05
—
64283971
—
KY
Enumeration date
07/15/2006
Last updated
10/17/2016
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