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Russellville Diagnostic Imaging
Diagnostic Radiology Physician in Russellville, Kentucky
NPI 1295906121

Russellville Diagnostic Imaging is a Diagnostic Radiology Physician based in Clarksville, KY and is specialized in Diagnostic Radiology. Russellville Diagnostic Imaging practices in Russellville, KY. The NPI Number for Russellville Diagnostic Imaging is 1295906121 and holds a License No. MD36221 (Kentucky).

The current practice location address for Russellville Diagnostic Imaging is 1625 Nashville St, Russellville, KY and can be reached out via phone at 270-725-4561.

Location: 1625 Nashville St, Russellville, KY, 37043-3339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295906121
Provider Name
Russellville Diagnostic Imaging
Credential
Provider Entity Type
Organization
Address
1625 Nashville St, Russellville, KY, 37043-3339
Phone Number
270-725-4561
Fax Number
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN6583 01 RAILROAD MEDICARE
7100040150 05 KY
000000566896 01 KY ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
1625 Nashville St
City
Russellville
State
Kentucky
Zip
42276-8853
Phone Number
270-725-4561
Fax Number
person
Provider Business Mailing Address Details
Address
1625 Nashville St
City
Russellville
State
Kentucky
Zip
42276-8853
Phone Number
270-725-4561
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD36221 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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