Organization · Type 2 NPI

Commonwealth Health Corporation, Inc.

Plastic and Reconstructive Surgery Physician · Bowling Green, KY

NPI number 1104470699 Active

Practice location

1048 Ashley St Ste 303
Bowling Green, KY 42103-2451

Call (270) 796-8960 Map

Fax (270) 842-5683

Mailing address

PO Box 117914
Atlanta, GA 30368-7914

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

3 other providers at this address

Center for Plastic & Reconstructive Surgery PSCPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1710084827
Fouad Victor Atalla, MDPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1063408771
Katherine Huber Durnen, MDPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1386986040

Other plastic and reconstructive surgery physician providers in Bowling Green

See all in Bowling Green →

NPI record

NPI: 1104470699
Entity type: Organization (Type 2)
Issued: Aug 1, 2019
Last updated: Oct 19, 2026
Status: Active

Other names

<unavail>
Med Center Health Plastic & Reconstructive Surgery · doing business as
Med Center Health Plastic & Reconstructive Surgery · doing business as

Authorized official

Michele W Lawless
Executive Vice President & CFO
(270) 745-1500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104470699

Commonwealth Health Corporation, Inc.'s National Provider Identifier is 1104470699, issued on Aug 1, 2019. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Bowling Green, KY. The record was last updated on Oct 19, 2026.