Healthcare Provider Details

I. General information

NPI: 1215910906
Provider Name (Legal Business Name): JOHN Y. BARBEE JR. MD MSPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 HIGHGROVE ROAD
BLOOMFIELD KY
40008-0507
US

IV. Provider business mailing address

PO BOX 507 7520 HIGHGROVE ROAD
BLOOMFIELD KY
40008-0507
US

V. Phone/Fax

Practice location:
  • Phone: 502-252-8256
  • Fax: 502-252-8274
Mailing address:
  • Phone: 502-252-8256
  • Fax: 502-252-8274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number14329
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: