Park Street Partners, L.l.p.

NPI 1053341339 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053341339
Enumeration Date 07/03/2006
Last Updated 09/02/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RONALD G. RONALD
Position EXECUTIVE VICE PRESIDENT
Phone (270) 781-3910
Fax (270) 842-7177
Practice Location
1225 FAIRWAY ST
BOWLING GREEN KY, 42103-2477, US
Phone (270) 781-3910
Fax (270) 842-7177
Business Location
PO BOX 3240
BOWLING GREEN KY, 42102-3240, US
Phone (270) 745-1100
Fax (270) 745-1156
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1053341339 NPI Number
 

According to our database, Park Street Partners, L.l.p. NPI is 1053341339, taxonomy code is 363L00000X Park Street Partners, L.l.p. physically located at 1225 Fairway St, Bowling Green KY, 42103-2477. NPI Number 1033115704 has the healthcare provider type.

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1053341339 NPI number is provided on an as is basis without warranty of any kind. 1053341339 is maintained by the National Plan & Provider Enumeration System. The contents of Park Street Partners, L.l.p. are for informational purposes only.