Organization
GLASGOW URGENT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY JOE MANION M.D. (OWNER/CEO)
(270) 651-7796
Entity
Organization
Contact information
Practice address
411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
(270) 651-7796
(270) 651-7074
Mailing address
411 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1191
(270) 651-7796
(270) 651-7074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927824
—
KY
Enumeration date
09/12/2008
Last updated
09/12/2008
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