Organization
WESTERN KENTUCKY VEIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L BRANCH PBT (OFFICE MANAGER)
(270) 782-8866
Entity
Organization
Contact information
Practice address
1711 DESTINY LN STE 118, BOWLING GREEN, KY 42104-1066
(270) 782-8866
Mailing address
1711 DESTINY LN STE 118, BOWLING GREEN, KY 42104-1066
(270) 782-8866
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/21/2008
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