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Organization
WOMEN'S HEALTH OF WESTERN KENTUCKY LLC
Active
Organization
WOMEN'S HEALTH OF WESTERN KENTUCKY LLC
Active
Parent organization
JENNIE STUART MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIE STUART MEDICAL CENTER
Authorized official
DARRELL L GUSTAFSON (CFO)
(270) 707-2100
Entity
Organization
Contact information
Practice address
112 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 886-7427
(270) 885-7786
Mailing address
PO BOX 2400, HOPKINSVILLE, KY 42241-2400
(270) 707-2100
(270) 707-2103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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