Healthcare Provider Details

I. General information

NPI: 1235227786
Provider Name (Legal Business Name): BARBARA PAWLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST HX316
LEXINGTON KY
40536
US

IV. Provider business mailing address

11309 OAKHURST RD
LOUISVILLE KY
40245-5217
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5069
  • Fax:
Mailing address:
  • Phone: 502-244-6569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number28834
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number28834
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01064345A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number28834
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: