Organization
EMERGENCY MEDICINE SERVICES OF KY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REBOK (VICE PRESIDENT)
(615) 372-5004
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-1000
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/09/2023
Last updated
06/14/2023
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