Organization
GLASGOW URGENT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY JOE MANION MD (OWNER CEO)
(270) 651-7796
Entity
Organization
Contact information
Practice address
411 S L ROGER WELLS BLVD, GLASGOW, KY 42141
(270) 651-7796
(270) 651-7074
Mailing address
411 S L ROGER WELLS BLVD, GLASGOW, KY 42141-1191
(270) 651-7796
(270) 651-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927824
—
KY
Enumeration date
09/01/2005
Last updated
02/14/2019
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