Healthcare Provider Details

I. General information

NPI: 1154387900
Provider Name (Legal Business Name): BARBARA J NEWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 03/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 HWY 42W
WARSAW KY
41095
US

IV. Provider business mailing address

PO BOX 845
WARSAW KY
41095-0845
US

V. Phone/Fax

Practice location:
  • Phone: 859-567-1591
  • Fax: 859-567-1253
Mailing address:
  • Phone: 859-567-1591
  • Fax: 859-567-1253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29585
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: