Cross, Tracy Glenn

Cross, Tracy Glenn is an sole proprietor health care provider with primary practice located at 250 Burkesville Rd , Albany KY 42602-1604. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cross, Tracy Glenn can be contacted via phone (606) 387-3000.

Contact Information

Primary practice address
250 Burkesville Rd Albany KY 42602-1604
Phone: (606) 387-3000
Fax: (606) 387-3307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33185 Kentucky
Other Service Providers / Specialist 174400000X 33185 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33185 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33185 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 33185 Kentucky

Profile Details

NPI number 1699778423
LBN Legal business name Cross, Tracy Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Dec 21st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699778423 NPPES
Kentucky MEDICAID 64033525

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