# KENTUCKIANA RADIOLOGY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124236740
- **Authorized official:** ANGELA BOWYER (PRESIDENT)
- **Authorized official phone:** (502) 876-6644

## Contact information

- **Practice address:** 858 S PENN AVE, SELLERSBURG, IN 47172-1627
- **Practice address phone:** (502) 363-1202
- **Practice address fax:** (812) 246-4063
- **Mailing address:** PO BOX 4489, JEFFERSONVILLE, IN 47131-4489
- **Mailing address phone:** (502) 363-1202
- **Mailing address fax:** (812) 246-4063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 720043 | KY | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 02/01/2012