Organization
WESTERN KENTUCKY UNIVERSITY
Active
Other names
WKU Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HEADY (INSURANCE & BILLING COORDINATOR)
(270) 745-5034
Entity
Organization
Contact information
Practice address
1906 COLLEGE HEIGHTS BLVD #8400, BOWLING GREEN, KY 42101-1041
(270) 745-5641
(270) 745-2449
Mailing address
1906 COLLEGE HEIGHTS BLVD #8400, BOWLING GREEN, KY 42101-1041
(270) 745-5641
(270) 745-2449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30097
KY
207R00000X
Internal Medicine Physician
Primary
36233
KY
363L00000X
Nurse Practitioner
1041583
KY
Other
Enumeration date
06/01/2005
Last updated
01/18/2008
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