Glenn R Womack MD PSC

Organization Active NPI Family Nurse Practitioner · Flemingsburg, KY

NPI 1003079781 · NPPES record last updated Jul 3, 2008

Key facts

NPI
1003079781
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
GLENN R WOMACK MD PSC
Practice address
732 Elizaville Rd
Flemingsburg, KY 41041
Phone
(606) 849-2323
Fax
(606) 849-2025
NPI assigned
Jul 3, 2008
Organization subpart
No

Authorized official

Name
Ramona L Mitchell
Title
Credentialing
Phone
(606) 849-2323

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Buffalo Trace Family Health Care (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

732 Elizaville Rd
Flemingsburg, KY 41041

Mailing address

732 Elizaville Rd
PO Box 344
Flemingsburg, KY 41041
Phone (606) 849-2323

Other names

  • Buffalo Trace Family Health Care Doing business as

Other providers in Flemingsburg, KY

All providers in Flemingsburg, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.