John Barmore
Individual provider Active NPI Psychologist · Louisville, KY
NPI 1740319953 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1740319953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 114244 (KY)
- Practice address
- 4710 Champions Trace LN
107
Louisville, KY 40218-3495 - Phone
- (502) 589-1100
- Fax
- (502) 589-8771
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114244 | KY | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 114244 | KY | Yes |
Addresses
Primary practice location
4710 Champions Trace LN
107
Louisville, KY 40218-3495
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Phone (502) 589-8600
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.