| Journeypure Kentucky Medical Group Llc | |
|
2349 Russellville Rd Bowling Green KY 42101-3986 | |
| (270) 781-3387 | |
| Not Available |
| Full Name | Journeypure Kentucky Medical Group Llc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 2349 Russellville Rd, Bowling Green, Kentucky |
| Authorized Official Name and Position | Kevin D Lee (PRESIDENT AND CEO) |
| Authorized Official Contact | 6159733500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeypure Kentucky Medical Group Llc 5500 Maryland Way Suite 200 Brentwood TN 37027-7048 Ph: () - | Journeypure Kentucky Medical Group Llc 2349 Russellville Rd Bowling Green KY 42101-3986 Ph: (270) 781-3387 |
| NPI Number | 1215470224 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215470224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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