SONNARINH KHAMVONGSA

BOWLING GREEN, KY
NPI1124791322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015529)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
SONNARINH KHAMVONGSA APRN
1325 ANDREA ST
BOWLING GREEN, KY 42104-5852
Phone number: 270-783-3323
Mailing Address
SONNARINH KHAMVONGSA APRN
201 PARK ST
BOWLING GREEN, KY 42101-1708
Phone number: 270-781-5111