Individual
MR. JOSEPH PAUL BARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG ROAD, C415, LEXINGTON, KY 40504
(859) 278-9492
(859) 277-3027
Mailing address
1401 HARRODSBURG ROAD, C415, LEXINGTON, KY 40504
(859) 278-9492
(859) 277-3027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
KY16820
KY
207N00000X
Dermatology Physician
Primary
16820
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003748
RAILROAD MEDICARE
KY
05
—
64168206002
—
KY
05
—
65926933
—
KY
Enumeration date
08/15/2005
Last updated
12/06/2012
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