Individual
MR. JOSEPH PAUL BARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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