Healthcare Provider Details

I. General information

NPI: 1124303847
Provider Name (Legal Business Name): ALL ABOUT YOU URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 SCOTTSVILLE RD SUITE 104
BOWLING GREEN KY
42104-4404
US

IV. Provider business mailing address

2508 SCOTTSVILLE ROAD SUITE 104
BOWLING GREEN KY
42104
US

V. Phone/Fax

Practice location:
  • Phone: 270-746-6330
  • Fax: 801-804-2121
Mailing address:
  • Phone: 270-746-6330
  • Fax: 801-804-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE CHRISTIAN
Title or Position: CEO
Credential:
Phone: 270-746-6330