Attending Physician Walter Warren | |
825 2nd Ave Suite A3 Bowling Green KY 42101-1786 | |
(270) 796-6847 | |
(270) 796-6841 |
Full Name | Attending Physician Walter Warren |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 825 2nd Ave, Bowling Green, Kentucky |
Authorized Official Name and Position | Ronald G. Sowell (EXEC. VICE PRESIDENT) |
Authorized Official Contact | 2707451536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Attending Physician Walter Warren Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 745-1467 | Attending Physician Walter Warren 825 2nd Ave Suite A3 Bowling Green KY 42101-1786 Ph: (270) 796-6847 |
NPI Number | 1306046115 |
---|---|
Provider Enumeration Date | 07/19/2007 |
Last Update Date | 09/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306046115 | NPI | - | NPPES |
65931776 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 18710 (Kentucky) | Primary |
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