Individual
DR. GLENN RUBEN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
732 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-1139
(606) 849-2323
(606) 849-2025
Mailing address
732 ELIZAVILLE AVE, P.O. BOX 344, FLEMINGSBURG, KY 41041-1139
(606) 849-2323
(606) 849-2025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15952
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64159528
—
KY
Enumeration date
09/16/2005
Last updated
07/08/2007
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