# GLASGOW URGENT CLINIC, INC

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

## Provider details

- **NPI number:** 1568611739
- **Authorized official:** MR. KENNY JOE MANION M.D. (OWNER/CEO)
- **Authorized official phone:** (270) 651-7796

## Contact information

- **Practice address:** 411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
- **Practice address phone:** (270) 651-7796
- **Practice address fax:** (270) 651-7074
- **Mailing address:** 411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
- **Mailing address phone:** (270) 651-7796
- **Mailing address fax:** (270) 651-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65927824 | — | KY |