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NPI Profile for BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION in BOWLING GREEN, KY.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI Number | 1891652343 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/07/2026 | |
| Last updated | 01/07/2026 - About 5 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
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BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION