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Organization

WESTERN KENTUCKY GASTROENTEROLOGY, LLC

Active
Parent organization
HOSPITAL CORP., LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOSPITAL CORP., LLC
Authorized official
CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization

Contact information

Practice address
996 WILKINSON TRCE, SUITE A-10, BOWLING GREEN, KY 42103-3407
(270) 393-9829
(270) 393-9830
Mailing address
996 WILKINSON TRCE, SUITE A-10, BOWLING GREEN, KY 42103-3407
(270) 393-9829
(270) 393-9830

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65944050
KY
Enumeration date
06/13/2006
Last updated
08/29/2007
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