Organization
COMMONWEALTH HEALTH CORPORATION
Active
Other names
ATTENDING PHYSICIAN WALTER WARREN
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXEC. VICE PRESIDENT)
(270) 745-1536
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE A3, BOWLING GREEN, KY 42101-1786
(270) 796-6847
(270) 796-6841
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18710
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931776
—
KY
Enumeration date
07/19/2007
Last updated
09/07/2007
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