Individual
DR. RANCE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0462
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077792
PASSPORT
KY
01
—
110094205
RAILROAD MEDICARE
KY
05
—
64267669
—
KY
Enumeration date
06/22/2005
Last updated
03/15/2016
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