Organization
IRIS MEDICAL GROUP KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PARKER MD (PRESIDENT)
(615) 873-4490
Entity
Organization
Contact information
Practice address
1131 MAGNOLIA ST, BOWLING GREEN, KY 42103-2411
(615) 873-4490
Mailing address
330 FRANKLIN RD STE 135-A270, BRENTWOOD, TN 37027-3280
(615) 873-4490
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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