Healthcare Provider Details

I. General information

NPI: 1477356921
Provider Name (Legal Business Name): ABIGAIL LEANNE HURT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL LEANNE PRICE

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PARK ST
BOWLING GREEN KY
42101-1760
US

IV. Provider business mailing address

250 PARK ST
BOWLING GREEN KY
42101-1760
US

V. Phone/Fax

Practice location:
  • Phone: 270-781-0075
  • Fax: 270-781-0143
Mailing address:
  • Phone: 270-781-0075
  • Fax: 270-781-0143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: