Kentuckiana Radiology Services, Inc
Organization Active NPI Mobile Radiology Clinic/Center · Sellersburg, IN
NPI 1124236740 · NPPES record last updated Feb 1, 2012
Key facts
- NPI
- 1124236740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mobile Radiology Clinic/Center 261QR0208X
- License
- 720043 (KY)
- Legal business name
- KENTUCKIANA RADIOLOGY SERVICES, INC
- Practice address
- 858 S Penn Ave
Sellersburg, IN 47172-1627 - Phone
- (502) 363-1202
- Fax
- (812) 246-4063
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Angela Bowyer
- Title
- President
- Phone
- (502) 876-6644
National Provider Directory
Locations
858 S Penn Ave
Sellersburg, IN 47172
Phone (502) 363-1202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 720043 | KY | Yes |
Addresses
Primary practice location
858 S Penn Ave
Sellersburg, IN 47172-1627
Mailing address
PO Box 4489
Jeffersonville, IN 47131-4489
Phone (502) 363-1202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86011061 | Medicaid | KY | |
| 100406310A | Medicaid | IN |
Other providers in Sellersburg, IN
- Jeanne Green M.D., LLC
- Dennis Jerome Jenkins
- Erin Denise Jenkins
- Robyn A Keeling
- Sara Keinath
- Aaron Michael Kirkpatrick
- Patsy J Kiser
- Ma Irisa Hibanada Kubala
- Lacey Lahue
- Jessica Lenae Ledbetter
All providers in Sellersburg, IN · Mobile Radiology Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.