| Park Street Partners, L.l.p. | |
|
1225 Fairway St Bowling Green KY 42103-2477 | |
| (270) 781-3910 | |
| (270) 842-7177 |
| Full Name | Park Street Partners, L.l.p. |
|---|---|
| Speciality | Family Medicine |
| Location | 1225 Fairway St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Ronald G. Sowell (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2707451536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Street Partners, L.l.p. Po Box 3240 Bowling Green KY 42102-3240 Ph: (270) 745-1100 | Park Street Partners, L.l.p. 1225 Fairway St Bowling Green KY 42103-2477 Ph: (270) 781-3910 |
| NPI Number | 1053341339 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053341339 | NPI | - | NPPES |
| 65900813 | Medicaid | KY | |
| 78900982 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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