Basic Information
Provider Information
NPI: 1396719977
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRETT
FirstName: TERRENCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: UK DIVISION OF DIGESTIVE DISEASES
Address2: 800 ROSE STREET, MN649
City: LEXINGTON
State: KY
PostalCode: 405360298
CountryCode: US
TelephoneNumber: 8593234887
FaxNumber: 8592578860
Practice Location
Address1: UK DIVISION OF DIGESTIVE DISEASES
Address2: 800 ROSE STREET, MN649
City: LEXINGTON
State: KY
PostalCode: 405360298
CountryCode: US
TelephoneNumber: 8593234887
FaxNumber: 8592578860
Other Information
ProviderEnumerationDate: 02/13/2006
LastUpdateDate: 05/28/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X46111KYY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207R00000X46111KYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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