Organization Active NPI

Kentucky Mountain Radiology Services PLLC

  • Diagnostic Radiology Physician
  • Hazard, KY
National Provider Identifier
1023268596
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KENTUCKY MOUNTAIN RADIOLOGY SERVICES PLLC
Practice address
145 Citizens LN Ste B
Hazard, KY 41701-1320
Phone
(866) 457-9896
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Danny Hall, MD
Title
Administration
Phone
(502) 222-3281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

145 Citizens LN Ste B
Hazard, KY 41701-1320

Mailing address

PO Box 6070
Dalton, GA 30722-6070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1023268596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6070",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307226070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CITIZENS LN STE B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011320",
            "telephone_number": "866-457-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN RADIOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "502-222-3281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.