Glenn Catlett PSC & Georgianna Catlett PTRS

Primary specialty

SpecialistTaxonomy code 174400000X

License

21010 Issued in KY

Legal business name

GLENN CATLETT PSC & GEORGIANNA CATLETT PTRS

Practice address

207 W Main St
Hodgenville, KY 42748-1559

Phone

(270) 358-3830

Fax

(270) 358-9350

NPI assigned

Apr 3, 2007

Last updated

Jun 9, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. A Glenn Catlett, M.D.

Title

Owner

Phone

(270) 358-3830

Specialties & licenses 1

Addresses

Other names 1

• A GLEN CATLETT & GEORGIANNA CATLETT PTR Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1538280565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427481559",
            "telephone_number": "270-358-3830",
            "fax_number": "270-358-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427481559",
            "telephone_number": "270-358-3830",
            "fax_number": "270-358-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN CATLETT PSC & GEORGIANNA CATLETT PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "CATLETT",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-358-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "21010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A GLEN CATLETT & GEORGIANNA CATLETT PTR",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "A GLEN CATLETT & GEORGIANNA CATLETT PTR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Hodgenville, KY
• Providers in Hodgenville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.