Individual
TODD ANDREW DREXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(207) 780-0498
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000524865
ANTHEM
KY
01
—
500016929
PASSPORT
KY
05
—
7100007000
—
KY
01
—
P00468503
RAILROAD MEDICARE
KY
Enumeration date
09/23/2006
Last updated
07/02/2014
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