Southern Kentucky Urology LLC
NPI #1114962867 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1114962867
- Entity Type
- Organization
- Organization Name
- Southern Kentucky Urology LLC
- Primary Specialty
- Urology
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1325 ANDREA ST
- Address 2
- SUITE 103
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-5852
- Phone
- (270) 796-9191
Authorized Official
- Name
- CHUCK LOCKE
- Title
- VICE PRESIDENT
- Phone
- (615) 373-7604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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