Individual
DR. JULIAN GLENN GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST BLDG STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
Mailing address
3950 KRESGE WAY, SUITE 203, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
305054
KY
208M00000X
Hospitalist Physician
35054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273964
ANTHEM BLUE CROSS
KY
01
—
110248083
RAILROAD MEDICARE
KY
01
—
50000236
PASSPORT
KY
05
—
64305543
—
KY
Enumeration date
03/16/2006
Last updated
08/02/2024
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