Individual
DR. TRACY GLENN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BURKESVILLE RD, ALBANY, KY 42602-1604
(606) 387-3000
(606) 387-3307
Mailing address
250 BURKESVILLE RD, ALBANY, KY 42602-1604
(606) 387-3000
(606) 387-3307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33185
KY
207P00000X
Emergency Medicine Physician
33185
KY
207R00000X
Internal Medicine Physician
33185
KY
208600000X
Surgery Physician
Primary
33185
KY
208M00000X
Hospitalist Physician
33185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033525
—
KY
Enumeration date
05/24/2005
Last updated
12/21/2021
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