Individual
CYNTHIA DIANE GLENN-BIRKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10015 MAIN ST, WHITESVILLE, KY 42378-9557
(270) 233-1884
Mailing address
10048 MAIN STREET, WHITESVILLE, KY 42378
(270) 729-4777
(270) 233-0202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2848P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78028487
—
KY
Enumeration date
04/20/2006
Last updated
11/20/2018
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