Western Kentucky Medical Associates Psc

NPI #1447623632 in Bowling Green, Kentucky

Provider Information

NPI Number: 1447623632
Entity Type: Organization
Organization Name: Western Kentucky Medical Associates Psc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 10, 2015
Last Updated: Jan 11, 2016

Practice Location

Address: 825 2ND AVE
Address 2: SUITE B1
City: Bowling Green
State: Kentucky
ZIP Code: 42101-1786
Phone: (270) 782-0151

Authorized Official

Name: MOHAMMAD KAZIMUDDIN, MD
Title: OWNER
Phone: (270) 782-0151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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