Organization
BOWLING GREEN INTERNAL MEDICINE AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A KNIERY MD (PRESIDENT)
(270) 846-4800
Entity
Organization
Contact information
Practice address
615 7TH AVE, BOWLING GREEN, KY 42101
(270) 846-4800
(270) 846-4828
Mailing address
PO BOX 9880, BOWLING GREEN, KY 42102-9880
(270) 846-4800
(270) 846-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/19/2006
Last updated
07/10/2019
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