BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC NPI 1447844014

NPI Information

BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC is a primary care nurse practitioner in Bowling Green, KY. BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC NPI is 1447844014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

523 PARK ST
BOWLING GREEN, KY
ZIP 42101-765
Phone: (270) 393-8418
Fax: (270) 393-8440

The provider's authorized official is Angela G Clark .
The authorized official title is Provider and has the following contact phone number (270) 393-8418.

The CLIA number assigned to this NPI record is 18D2215210 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2021 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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