Healthcare Provider Details

I. General information

NPI: 1396719977
Provider Name (Legal Business Name): TERRENCE BARRETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK DIVISION OF DIGESTIVE DISEASES 800 ROSE STREET, MN649
LEXINGTON KY
40536-0298
US

IV. Provider business mailing address

UK DIVISION OF DIGESTIVE DISEASES 800 ROSE STREET, MN649
LEXINGTON KY
40536-0298
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-4887
  • Fax: 859-257-8860
Mailing address:
  • Phone: 859-323-4887
  • Fax: 859-257-8860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number46111
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46111
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: