Peyton Manning, PSS
NPI #1144948027 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1144948027
- Entity Type
- Individual
- Name
- Peyton Manning, PSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- PSS
- Enumeration Date
- Aug 17, 2022
- Last Updated
- Aug 17, 2022
Practice Location
- Address
- 640 WRIGHT AVE
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42103-1623
- Phone
- (866) 755-4258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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