Organization
INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEITH NORMAN CRNA (VP)
(270) 393-1912
Entity
Organization
Contact information
Practice address
1112 S MAIN ST STE 7, FRANKLIN, KY 42134-2371
(270) 745-7246
(270) 282-2027
Mailing address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/04/2017
Last updated
06/24/2022
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