Organization
WESTERN KENTUCKY MEDICAL ASSOCIATES PSC
Active
Organization
WESTERN KENTUCKY MEDICAL ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD KAZIMUDDIN MD (OWNER)
(270) 782-0151
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE B1, BOWLING GREEN, KY 42101-1786
(270) 782-0151
(270) 782-7528
Mailing address
825 2ND AVE, SUITE B1, BOWLING GREEN, KY 42101-1786
(270) 782-0151
(270) 782-7528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
01/11/2016
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