Organization
KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BALE (OWNER AND PHYSICIAN)
(270) 670-8777
Entity
Organization
Contact information
Practice address
1214 N RACE ST, SUITE B, GLASGOW, KY 42141-3462
(270) 670-8777
Mailing address
1214 N RACE ST, SUITE B, GLASGOW, KY 42141-3462
(270) 670-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/31/2007
Last updated
04/17/2009
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