is a Critical Care Medicine in Bowling Green, Kentucky. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1205887858. The last update date is .
's current location address is 201 Park St, Bowling Green, Kentucky. You can contact this provider via phone number 2707815111 and fax number 2709392731. The mailing address for is 201 Park St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 201 Park St, Bowling Green, Kentucky |
| Phone Number | 2707815111 |
| Fax Number | 2709392731 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205887858 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 201 Park St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421011759 |
| Phone Number | 2707815111 |
| Fax Number | 2709392731 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | MD034767 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100149240 | KY | -- | |
| 698013 | KY | ANTHEM |
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