Abigail Debusk
Family Doctor - Sports Medicine
825 2nd Ave Suite C2
Bowling Green
, Kentucky 42101-1786
Abigail Debusk
Family Doctor - Sports Medicine
825 2nd Ave Suite C2
Bowling Green
, Kentucky 42101-1786
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Abigail Debusk
- 239 Chippewa Dr
- Bowling Green, KY
- Zip : 42103-1376
- Phone :
Second Address
- Abigail Debusk
- 825 2nd Ave Suite C2
- Bowling Green, KY
- Zip : 42101-1786
- Phone : (270) 780-2750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 03735 | KY |
National Provider Identifier
| NPI | 1154613768 |
|---|---|
| Provider Name | Abigail Debusk |
| First Address | Bowling Green, KY 42103-1376 |
| Second Address | Bowling Green, KY 42101-1786 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2011 |
| Last Update Date | 12/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 376962 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.