Southern Kentucky Urology Llc

NPI 1114962867 - Urology - 208800000X

NPI Details
NPI 1114962867
Enumeration Date 06/17/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHUCK CHUCK
Position VICE PRESIDENT
Phone (270) 796-9191
Fax
Practice Location
1325 ANDREA ST
SUITE 103
BOWLING GREEN KY, 42104-5852, US
Phone (270) 796-9191
Fax
Business Location
1325 ANDREA ST
SUITE 103
BOWLING GREEN KY, 42104-5852, US
Phone (270) 796-9191
Fax
Toxanomy
Taxonomy Code 208800000X
License State Indiana
License Number 01046326A
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According to our database, Southern Kentucky Urology Llc NPI is 1114962867, taxonomy code is 208800000X and license number is 01046326A, license state is located at Indiana. Southern Kentucky Urology Llc physically located at 1325 Andrea St, Bowling Green KY, 42104-5852. NPI Number 1033115704 has the healthcare provider type.

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1114962867 NPI number is provided on an as is basis without warranty of any kind. 1114962867 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Kentucky Urology Llc are for informational purposes only.