Dick, Barry L

Dick, Barry L is an individual health care provider with primary practice located at 580 S Loop Rd Suite 201, Edgewood KY 41017-3415. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dick, Barry L can be contacted via phone (859) 344-1600.

Contact Information

Primary practice address
580 S Loop Rd Suite 201 Edgewood KY 41017-3415
Phone: (859) 344-1600
Fax: (859) 344-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 29604 Kentucky
Other Service Providers / Specialist 174400000X 29604 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 29604 Kentucky

Profile Details

NPI number 1194711150
LBN Legal business name Dick, Barry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Oct 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194711150 NPPES
Kentucky MEDICAID 7100056850
Kentucky MEDICAID 100354170
Kentucky Other P01058472
Kentucky MEDICAID 0915148
Kentucky Other P00252704
Kentucky MEDICAID 64933096

Popular Providers