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Bryan Borders
Radiologic Technologist in Madisonville, Kentucky
NPI 1427198639

Bryan Borders is a Radiologic Technologist based in Madisonville, KY. Bryan Borders practices in Madisonville, KY. The NPI Number for Bryan Borders is 1427198639 and holds a License No. 1005409168 (Kentucky).

The current practice location address for Bryan Borders is 546 Hunters Gln, Madisonville, KY and can be reached out via phone at 270-824-9630 and via fax at 270-824-9630.

Location: 546 Hunters Gln, Madisonville, KY, 42431-8688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427198639
Provider Name
Bryan Borders
Credential
Provider Entity Type
Individual
Gender
Male
Address
546 Hunters Gln, Madisonville, KY, 42431-8688
Phone Number
270-824-9630
Fax Number
270-824-9630
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000111564 01 KY ANTHEM BLUE CROSS
86054012 05 KY
institution
Provider Business Practice Location Address Details
Address
546 Hunters Gln
City
Madisonville
State
Kentucky
Zip
42431-8688
Phone Number
270-824-9630
Fax Number
270-824-9630
person
Provider Business Mailing Address Details
Address
546 Hunters Gln
City
Madisonville
State
Kentucky
Zip
42431-8688
Phone Number
270-824-9630
Fax Number
270-824-9630
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
1005409168 (Kentucky)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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