Individual
BARRY MARTIN REBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 HIGHLAND PARK DR, RICHMOND, KY 40475-3839
(859) 626-7700
(859) 626-7890
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(859) 626-7700
(859) 626-7890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32360
KY
2084P0800X
Psychiatry Physician
LT3548
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32360
MEDICAL LICENSE - KENTUCKY
KY
05
—
7100142440
—
KY
01
—
9900330
MEDICAL LICENSE - NORTH CAROLINA
NC
Enumeration date
08/10/2006
Last updated
05/16/2016
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