Organization
PEDIATRIC PARTNERS OF WESTERN KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE M CASTLEN (OFFICE MANAGER)
(270) 926-8842
Entity
Organization
Contact information
Practice address
1102 TRIPLETT ST, STE. 1000, OWENSBORO, KY 42303-3104
(270) 926-8842
(270) 926-0760
Mailing address
1102 TRIPLETT ST, STE. 1000, OWENSBORO, KY 42303-3104
(270) 926-8842
(270) 926-0760
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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