Commonwealth Health Free Clinic, Inc.

NPI #1295104800 in Bowling Green, Kentucky

Provider Information

NPI Number
1295104800
Entity Type
Organization
Organization Name
Commonwealth Health Free Clinic, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Sep 24, 2015
Last Updated
Sep 24, 2015

Practice Location

Address
740 E 10TH AVE
ZIP Code
42101-2318
Phone
(270) 781-9260

Authorized Official

Name
MR. RONALD G SOWELL
Title
EXECUTIVE VICE PRESIDENT
Phone
(270) 745-1500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily
Internal Medicine

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