Organization
INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
Active
Other names
Interventional Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NORMAN CRNA (OWNER)
(270) 745-7246
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 282-2024
(270) 282-2027
Mailing address
PO BOX 2675, BOWLING GREEN, KY 42102-7675
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/22/2016
Last updated
10/30/2023
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