Healthcare Provider Details

I. General information

NPI: 1699724229
Provider Name (Legal Business Name): SPRING VIEW PHYSICIAN PRACTICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 LORETTO RD
LEBANON KY
40033-1300
US

IV. Provider business mailing address

320 LORETTO RD
LEBANON KY
40033-1300
US

V. Phone/Fax

Practice location:
  • Phone: 270-692-3161
  • Fax: 270-692-5155
Mailing address:
  • Phone: 270-692-3161
  • Fax: 270-692-5155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MONICA BOWMAN SR.
Title or Position: PRESIDENT
Credential:
Phone: 615-920-7000