Organization
MAGNA CHIROPRACTIC SPINE CENTER OF BOWLING GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN KEITH HAWLEY DC (MEMBER)
(270) 746-9400
Entity
Organization
Contact information
Practice address
830 FAIRVIEW AVE STE A-3, BOWLING GREEN, KY 42101
(270) 746-9400
(270) 746-0240
Mailing address
830 FAIRVIEW AVE STE A-3, BOWLING GREEN, KY 42101
(270) 746-9400
(270) 746-0240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4859
—
KY
Enumeration date
05/21/2015
Last updated
05/21/2015
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