Individual
ANDERSON RAYMOND ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 ANDREA ST, SUITE 100, BOWLING GREEN, KY 42104-5852
(270) 901-3454
(270) 901-3459
Mailing address
1325 ANDREA ST, SUITE 100, BOWLING GREEN, KY 42104-5852
(270) 901-3454
(270) 901-3459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537158
ANTHEM
KY
01
—
2720474
UNITED HEALTHCARE
—
05
—
64122492
—
KY
Enumeration date
05/14/2006
Last updated
08/15/2016
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