Organization
BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA G CLARK APRN (PROVIDER)
(270) 393-8418
Entity
Organization
Contact information
Practice address
523 PARK ST, BOWLING GREEN, KY 42101-1765
(270) 393-8418
(270) 393-8440
Mailing address
523 PARK ST, BOWLING GREEN, KY 42101-1765
(270) 393-8418
(270) 393-8440
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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