Individual
LOUIS ILENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2815 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3960
(270) 938-1020
(270) 938-1018
Mailing address
2815 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3960
(270) 938-1020
(270) 938-1018
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
KCCHW12403313
KY
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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