Organization · Type 2 NPI
Southern Kentucky Skin, LLC
Family Nurse Practitioner · Bowling Green, KY
NPI number
1205734076
Active
Practice location
1212 Woodhurst St
Bowling Green, KY 42104-3358
Mailing address
1212 Woodhurst St Ste A
Bowling Green, KY 42104-3358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1205734076
Southern Kentucky Skin, LLC's National Provider Identifier is 1205734076, issued on Oct 29, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bowling Green, KY. The record was last updated on Oct 29, 2026.