Organization
MED 1ST OF OWENSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN E. POELING DC (PRESIDENT)
(812) 471-8630
Entity
Organization
Contact information
Practice address
3600 FREDERICA ST, SUITEA, OWENSBORO, KY 42301-6981
(270) 926-1774
(270) 926-7267
Mailing address
PO BOX 4506, EVANSVILLE, IN 47724-0506
(812) 471-8630
(812) 471-8640
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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