Walker T. Edwards, D.O.
Internal Medicine in Bowling Green, KY. Individual provider (NPI-1).
NPI number1124332200
StatusActive
Last updated in NPPESNov 19, 2013
Details
- NPI
- 1124332200
- Entity type
- Individual (NPI-1)
- Name
- Walker T. Edwards
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2010
- Last updated
- Nov 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | TP479 | KY | Yes |
| 207R00000X | Internal Medicine | L1812714 | MI |
Practice location
250 Park StreetBowling Green, KY 42101-1784
Phone 270-796-6540 · Fax 270-796-6576
Mailing address
250 Park StreetBowling Green, KY 42101-1784
Phone 270-796-6540 · Fax 270-796-6576
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