Western Kentucky Vein Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WESTERN KENTUCKY VEIN CENTER

Practice address

1711 Destiny LN Ste 118
Bowling Green, KY 42104-1066

Phone

(270) 782-8866

NPI assigned

Mar 5, 2007

Last updated

Aug 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Deborah L Branch, PBT

Title

Office Manager

Phone

(270) 782-8866

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1225167083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN STE 118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-782-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN STE 118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-782-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-782-8866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PBT"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Kentucky University (WKU Health Services)
• Western Kentucky University
• Western Kentucky University Research Foundation, Inc.
• Western Kentucky University Speech Clinic
• Western Kentucky University Sports Medicine
• John Bennett Westfall, DO
• Lindsay Lee Wheat, APRN
• Rachel Wheat
• Janna Wheeler
• Jennifer Nicole Wheeler, LMFT

• Ambulatory Surgical Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.