Individual
MRS. GLENNA BARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
728 S US HIGHWAY 25E LOOP NUMBER 2, LOOP NUMBER 2, BARBOURVILLE, KY 40906
(606) 545-0209
(606) 545-0289
Mailing address
PO BOX 337, BARBOURVILLE, KY 40906-0337
(606) 545-0209
(606) 545-0289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008393
KY
Other
Enumeration date
12/30/2013
Last updated
01/03/2014
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