Park Street Partners, L.l.p.

NPI #1467708180 in Bowling Green, Kentucky

Provider Information

NPI Number: 1467708180
Entity Type: Organization
Organization Name: Park Street Partners, L.l.p.
Primary Specialty: Clinic/Center - Corporate Health
Enumeration Date: Jul 31, 2012
Last Updated: Jul 31, 2012

Practice Location

Address: 1110 WILKINSON TRCE
City: Bowling Green
State: Kentucky
ZIP Code: 42103-3402
Phone: (270) 796-3590

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Corporate Health — Corporate Health	261QC1800X	Primary

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