NPI 1003364373

Verdant Healthcare LLC

Organisation Primary Care Clinic/Center Bowling Green, KY

Practice location

Address: 1300 Andrea St Suite 100, Bowling Green, KY 42104-3382
Phone: (270) 780-3546
Fax: (270) 780-3547

Authorised official

Name: Dwight Howell Sutton
Title: Owner
Phone: (270) 780-3546

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 40753 (KY)

Other Clinic/Center providers in Kentucky →

Registry record

NPI: 1003364373
Entity type: Organization
NPI issued: 15 Sep 2016
Record last updated: 8 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.