Organization
WESTERN KENTUCKY ORTHOPAEDIC & NEUROSURGICAL ASSOCIATES PLLC
Active
Organization
WESTERN KENTUCKY ORTHOPAEDIC & NEUROSURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BURGER (NETWORK ADMINISTRATOR)
(270) 782-7800
Entity
Organization
Contact information
Practice address
165 NATCHEZ TRACE, SUITE 100, BOWLING GREEN, KY 42103
(270) 782-7800
(270) 843-0779
Mailing address
165 NATCHEZ TRACE, SUITE 100, BOWLING GREEN, KY 42103
(270) 782-7800
(270) 843-0779
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
KY
207X00000X
Orthopaedic Surgery Physician
Primary
—
KY
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060685
ANTHEM GROUP
KY
05
—
7100241800
—
KY
Enumeration date
04/16/2007
Last updated
01/21/2015
Update your record
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