Provider Demographics
NPI:1972699502
Name:GALYEN, BILLIE JEAN (MD)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:JEAN
Last Name:GALYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:JEAN
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:480 HOPKINSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-1124
Mailing Address - Country:US
Mailing Address - Phone:270-338-5777
Mailing Address - Fax:270-338-5765
Practice Address - Street 1:504 HOPKINSVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1104
Practice Address - Country:US
Practice Address - Phone:270-338-6488
Practice Address - Fax:270-338-7868
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34833208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000512713OtherBCBS
KY31000458Medicaid
611268014OtherFEDERAL TAX ID
H38484Medicare UPIN
611268014OtherFEDERAL TAX ID