Individual
LEON BARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 233-3881
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 233-3881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003670
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008877
—
KY
Enumeration date
08/22/2005
Last updated
03/29/2018
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