Basic Information
Provider Information
NPI: 1275070229
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTON
FirstName: WHITNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1325
Address2:  
City: CORBIN
State: KY
PostalCode: 407021325
CountryCode: US
TelephoneNumber: 6065268131
FaxNumber: 6065288661
Practice Location
Address1: 14949 N US HIGHWAY 25 E
Address2: STE. 6
City: CORBIN
State: KY
PostalCode: 407016285
CountryCode: US
TelephoneNumber: 6065282160
FaxNumber: 6062582162
Other Information
ProviderEnumerationDate: 01/30/2017
LastUpdateDate: 01/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X3011042KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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