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Organization
PARK STREET PARTNERS, L.L.P.
Active
Organization
PARK STREET PARTNERS, L.L.P.
Active
Other names
URGENTCARE
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 745-1536
Entity
Organization
Contact information
Practice address
1225 FAIRWAY ST, BOWLING GREEN, KY 42103-2477
(270) 781-3910
(270) 842-7177
Mailing address
PO BOX 3240, BOWLING GREEN, KY 42102-3240
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/03/2006
Last updated
09/02/2011
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