| Cpcfs/robert Fane Agency | |
|
1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 | |
| (270) 393-9833 | |
| (270) 393-9835 |
| Full Name | Cpcfs/robert Fane Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1011 Lehman Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Robert Bruce Fane (OWNER) |
| Authorized Official Contact | 2703939833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpcfs/robert Fane Agency 1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 Ph: (270) 393-9833 | Cpcfs/robert Fane Agency 1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 Ph: (270) 393-9833 |
| NPI Number | 1518239862 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518239862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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