# WESTERN KENTUCKY UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366733222
- **Authorized official:** BILLY EDWARDS (DIRECTOR OF SPORTS MEDICINE)
- **Authorized official phone:** (270) 745-6026

## Contact information

- **Practice address:** 1906 COLLEGE HEIGHTS BLVD, BOWLING GREEN, KY 42101-1000
- **Practice address phone:** (270) 745-6026
- **Mailing address:** 1906 COLLEGE HEIGHTS BLVD, BOWLING GREEN, KY 42101-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 04/27/2011