Individual
CHARLES S. LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31539
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
31539
KY
207RI0011X
Interventional Cardiology Physician
31539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64017940
—
KY
Enumeration date
06/09/2005
Last updated
08/02/2016
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