Individual
MISS BARBARA BOURKE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, HMA DEPT, LOUISVILLE, KY 40202-1861
(502) 569-7983
(502) 589-4989
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 895-8970
(502) 895-8971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2740P
KY
363L00000X
Nurse Practitioner
3002740
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3002740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360855
ANTHEM PROVIDER NO.
KY
05
—
200507470
—
IN
01
—
50006767
PASPORT PROVIDER NO.
KY
05
—
78013638
—
KY
Enumeration date
05/16/2006
Last updated
11/21/2023
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