Western Kentucky Medical Associates PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTERN KENTUCKY MEDICAL ASSOCIATES PSC

Practice address

825 2ND Ave
Suite B1
Bowling Green, KY 42101-1786

Phone

(270) 782-0151

Fax

(270) 782-7528

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Mohammad Kazimuddin, MD

Title

Owner

Phone

(270) 782-0151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1447623632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 2ND AVE",
            "address_2": "SUITE B1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011786",
            "telephone_number": "270-782-0151",
            "fax_number": "270-782-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 2ND AVE",
            "address_2": "SUITE B1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011786",
            "telephone_number": "270-782-0151",
            "fax_number": "270-782-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY MEDICAL ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "KAZIMUDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-782-0151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.