| Western Kentucky Gastroenterology, Llc | |
|
996 Wilkinson Trce Suite A-10 Bowling Green KY 42103-3407 | |
| (270) 393-9829 | |
| (270) 393-9830 |
| Full Name | Western Kentucky Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 996 Wilkinson Trce, Bowling Green, Kentucky |
| Authorized Official Name and Position | Chuck Locke (VP) |
| Authorized Official Contact | 6153737604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Kentucky Gastroenterology, Llc 996 Wilkinson Trce Suite A-10 Bowling Green KY 42103-3407 Ph: (270) 393-9829 | Western Kentucky Gastroenterology, Llc 996 Wilkinson Trce Suite A-10 Bowling Green KY 42103-3407 Ph: (270) 393-9829 |
| NPI Number | 1295777084 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295777084 | NPI | - | NPPES |
| 65944050 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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