NPI 1114962867

Southern Kentucky Urology LLC

Organisation Urology Physician Bowling Green, KY

Practice location

Address: 1325 Andrea St Suite 103, Bowling Green, KY 42104-5852
Phone: (270) 796-9191

Authorised official

Name: Chuck Locke
Title: Vice President
Phone: (615) 373-7604

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01046326A (IN)

Other Urology providers in Kentucky →

Registry record

NPI: 1114962867
Entity type: Organization
NPI issued: 17 Jun 2006
Record last updated: 20 Apr 2008

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.