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Organization

SOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY SMITH (PRACTICE MANAGER)
(270) 843-5114
Entity
Organization

Contact information

Practice address
720 2ND AVE, SUITE 203, BOWLING GREEN, KY 42101-1778
(270) 745-1230
Mailing address
720 2ND AVE, SUITE 203, BOWLING GREEN, KY 42101-1778
(270) 843-5114
(270) 745-1230

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6592215500
KY
Enumeration date
03/06/2007
Last updated
02/01/2018
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