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Organization
GLASGOW URGENT CLINIC, INC
Active
Organization
GLASGOW URGENT CLINIC, INC
Active
Other names
Greenwood Urgent Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY JOE MANION M.D. (CEO/OWNER)
(270) 651-7796
Entity
Organization
Contact information
Practice address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7855
(270) 843-5662
(270) 843-5614
Mailing address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7855
(270) 843-5662
(270) 843-5614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933863
—
KY
Enumeration date
09/16/2008
Last updated
09/16/2008
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