Individual
GORDON B NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 PARK ST, BOWLING GREEN, KY 42101-2556
(270) 781-3880
(270) 781-5351
Mailing address
1320 PARK ST, BOWLING GREEN, KY 42101-2556
(279) 781-3880
(270) 781-5351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64172182
—
KY
Enumeration date
02/21/2006
Last updated
06/20/2014
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