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Organization

ANESTHESIA & PAIN SPECIALISTS OF BOWLING GREEN PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT KEITH NORMAN CRNA (PARTNER/PRESIDENT)
(270) 393-1912
Entity
Organization

Contact information

Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 393-1912
(270) 393-1913
Mailing address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 393-1912
(270) 393-1913

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
KY
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65931073
KY
05
7100240280
KY
Enumeration date
08/29/2005
Last updated
07/21/2022
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