Organization
GLASGOW URGENT CLINIC, INC
Active
Other names
Greenwood Urgent Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY JOE MANION M.D. (CEO/OWNER)
(270) 651-7796
Entity
Organization
Contact information
Practice address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7855
(270) 843-5662
(270) 843-5614
Mailing address
4863B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7855
(270) 843-5662
(270) 843-5614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933863
—
KY
Enumeration date
09/16/2008
Last updated
09/16/2008
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