# INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033356274
- **Authorized official:** ROBERT KEITH NORMAN CRNA (OWNER/PRESIDENT)
- **Authorized official phone:** (270) 393-1912

## Contact information

- **Practice address:** 165 NATCHEZ TRACE AVE, SUITE 205, BOWLING GREEN, KY 42103-7940
- **Practice address phone:** (270) 393-1912
- **Practice address fax:** (270) 393-1913
- **Mailing address:** 165 NATCHEZ TRACE AVE, SUITE 205, BOWLING GREEN, KY 42103-7940
- **Mailing address phone:** (270) 393-1912
- **Mailing address fax:** (270) 393-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | KY | — |
| 207L00000X | Anesthesiology Physician | — | KY | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | KY | Yes |
| 208VP0000X | Pain Medicine Physician | — | KY | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | KY | — |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 07/21/2022