# JOURNEYPURE KENTUCKY MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOURNEYPURE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215470224
- **Legal business name:** JOURNEYPURE LLC
- **Authorized official:** KATHERINE BOWERS (DIRECTOR OF OP RCM)
- **Authorized official phone:** (615) 715-4214

## Contact information

- **Practice address:** 2349 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3986
- **Practice address phone:** (270) 781-3387
- **Mailing address:** 5080 FLORENCE RD, MURFREESBORO, TN 37129-2922
- **Mailing address phone:** (615) 907-5037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 03/20/2026