Organization · Type 2 NPI
Southern Kentucky Surgical, PLLC
Endoscopy Clinic/Center · Bowling Green, KY
NPI number
1902092406
Active
Practice location
1848 Lyda Ave
Bowling Green, KY 42104-3361
Fax (270) 846-1577
Mailing address
PO Box 51805
Bowling Green, KY 42102-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endoscopy Clinic/Center Primary | 261QE0800X | None listed |
Endoscopy Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1902092406
Southern Kentucky Surgical, PLLC's National Provider Identifier is 1902092406, issued on Sep 18, 2007. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 18, 2007.