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Organization
WESTERN KENTUCKY UNIVERSITY
Active
Organization
WESTERN KENTUCKY UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY EDWARDS (DIRECTOR OF SPORTS MEDICINE)
(270) 745-6026
Entity
Organization
Contact information
Practice address
1906 COLLEGE HEIGHTS BLVD, BOWLING GREEN, KY 42101-1000
(270) 745-6026
Mailing address
1906 COLLEGE HEIGHTS BLVD, BOWLING GREEN, KY 42101-1000
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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