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Organization

WESTERN KENTUCKY UNIVERSITY

Active
Other names
WKU Institute for Rural Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW HUNT M.A. (DIRECTOR)
(270) 745-4138
Entity
Organization

Contact information

Practice address
1906 COLLEGE HEIGHTS BLVD # 21038, ACADEMIC COMPLEX 201, BOWLING GREEN, KY 42101-1000
(270) 745-4138
Mailing address
1906 COLLEGE HEIGHTS BLVD # 21038, ACADEMIC COMPLEX 201, BOWLING GREEN, KY 42101-1000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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