| Western Kentucky University | |
|
1906 College Heights Blvd #8400 Bowling Green KY 42101-1041 | |
| (270) 745-5641 | |
| (270) 745-2449 |
| Full Name | Western Kentucky University |
|---|---|
| Speciality | Internal Medicine |
| Location | 1906 College Heights Blvd #8400, Bowling Green, Kentucky |
| Authorized Official Name and Position | Linda Heady (INSURANCE & BILLING COORDINATOR) |
| Authorized Official Contact | 2707455034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Kentucky University 1906 College Heights Blvd #8400 Bowling Green KY 42101-1041 Ph: (270) 745-5641 | Western Kentucky University 1906 College Heights Blvd #8400 Bowling Green KY 42101-1041 Ph: (270) 745-5641 |
| NPI Number | 1235131533 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235131533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30097 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 1041583 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 36233 (Kentucky) | Primary |
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