Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN KENTUCKY UROLOGY LLC
Active
Organization
SOUTHERN KENTUCKY UROLOGY LLC
Active
Other names
Southern Kentucky Urology
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization
Contact information
Practice address
1325 ANDREA ST, SUITE 103, BOWLING GREEN, KY 42104-5852
(270) 796-9191
Mailing address
1325 ANDREA ST, SUITE 103, BOWLING GREEN, KY 42104-5852
(270) 796-9191
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01046326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100003160
—
KY
Enumeration date
06/17/2006
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers