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NPI Code Detail

MEDICARE: PAMELA ISON-GLOVER

MEDICARE:   PAMELA  ISON-GLOVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist0317KY
2231H00000XAudiologistKY94KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000064989OTHERKYBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467458141
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA ISON-GLOVER
Provider Business Mailing Address
First Line : PO BOX 1002
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42241-1002
Country : US
Telephone Number : 270-886-8468
Fax Number : 270-886-8472
Provider Business Practice Location Address
First Line : 1720 S VIRGINIA ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-3684
Country : US
Telephone Number : 270-886-8468
Fax Number : 270-886-8472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 01/27/2022

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Directions to “ PAMELA ISON-GLOVER ” Practice Location

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