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Bowling Green Dialysis Center Inc
Specialist in Bowling Green, Kentucky
NPI 1497740997

Bowling Green Dialysis Center Inc is a Specialist based in Louisville, KY. Bowling Green Dialysis Center Inc practices in Bowling Green, KY. The NPI Number for Bowling Green Dialysis Center Inc is 1497740997 and holds a License No. 300032 (Kentucky).

The current practice location address for Bowling Green Dialysis Center Inc is 1834 Lyda Ave, Bowling Green, KY and can be reached out via phone at 270-782-1318 and via fax at 270-793-9558. You can also correspond with Bowling Green Dialysis Center Inc through the mailing address at 4114 BROWNS LN, LOUISVILLE, KY - 40220-1534 (mailing address contact number: 502-458-6359).

Location: 1834 Lyda Ave, Bowling Green, KY, 40220-1534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497740997
Provider Name
Bowling Green Dialysis Center Inc
Credential
Provider Entity Type
Organization
Address
1834 Lyda Ave, Bowling Green, KY, 40220-1534
Phone Number
270-782-1318
Fax Number
270-793-9558
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000054740 01 KY ANTHEM
39090048 05 KY
610939927 01 KY ALL OTHER
institution
Provider Business Practice Location Address Details
Address
1834 Lyda Ave
City
Bowling Green
State
Kentucky
Zip
42104-3361
Phone Number
270-782-1318
Fax Number
270-793-9558
person
Provider Business Mailing Address Details
Address
4114 Browns Ln
City
Louisville
State
Kentucky
Zip
40220-1534
Phone Number
502-458-6359
Fax Number
502-459-8626
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
300032 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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