Healthcare Provider Details

I. General information

NPI: 1558436212
Provider Name (Legal Business Name): THE MEDICAL CENTER AT FRANKLIN NUTRITION THERAPY PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BROOKHAVEN RD
FRANKLIN KY
42134-2746
US

IV. Provider business mailing address

PO BOX 9519
BOWLING GREEN KY
42102-9519
US

V. Phone/Fax

Practice location:
  • Phone: 270-598-4800
  • Fax: 270-598-4898
Mailing address:
  • Phone: 270-745-1467
  • Fax: 270-745-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: RONALD G. SOWELL
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 270-745-1536