Western Kentucky University
NPI #1194066324 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1194066324
- Entity Type
- Organization
- Organization Name
- Western Kentucky University
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2013
- Last Updated
- Mar 13, 2013
Practice Location
- Address
- 1906 COLLEGE HEIGHTS BLVD # 21038
- Address 2
- ACADEMIC COMPLEX 201
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-1000
- Phone
- (270) 745-4138
Authorized Official
- Name
- MR. MATTHEW HUNT, M.A.
- Title
- DIRECTOR
- Phone
- (270) 745-4138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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