Kentucky Medical Services, PSC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

38090 Issued in KY

Legal business name

KENTUCKY MEDICAL SERVICES, PSC

Practice address

7000 W Palmetto Park Rd Ste 205
Boca Raton, FL 33433-3430

Phone

(855) 200-8262

NPI assigned

Nov 24, 2015

Last updated

Nov 24, 2015By 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

Eric Gliniecki

Title

Director

Phone

(855) 200-8262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1023482353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 PEPPERTREE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333430",
            "telephone_number": "855-200-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "GLINIECKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "855-200-8262"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "KY",
            "license": "38090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Smith Kennedy, MD
• Nicole Ann Kennedy
• Kenneth a. Mogell, DMD, PA (Florida Dental Sleep Disorders)
• Kenneth Konsker MD PA
• Kenneth Krat DDS PA
• Megan Keohane
• Jake Keown
• Gabriela V Kepley, LCSW
• Ronald Jay Kerble, PA
• Brittany Luea Kerkar, MD

• Mobile Radiology Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.