| Doctor Name: | MRS. GLENDA DARLENE BAGBY |
| NPI Number: | 1043292709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-BC, MSN, CEN |
| License Number: | 4331P |
| Business Practice Address: | 706 Columbia Hwy Greensburg, KY - 427431118 |
| Business Phone Number: | 2702992286 |
| Business Fax Number: | 2702992157 |
| Mailing Address: | 706 Columbia Hwy, GREENSBURG |
| State: | KY |
| Postal Code: | 427431118 |
| Phone Number: | 2702992286 |
| Fax Number: | 2702992157 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4331P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |