Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
Infectious Disease and Travel Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
720 2ND AVE STE 307, BOWLING GREEN, KY 42101-1718
(270) 780-2760
(270) 780-2761
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 780-2760
(270) 780-2761
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931776
—
KY
Enumeration date
04/03/2014
Last updated
11/19/2024
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