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Organization
MOLECULAR IMAGING OF EASTERN KENTUCKY, LLC
Active
Organization
MOLECULAR IMAGING OF EASTERN KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BROOKS DAVIS M.D. (MEDICAL DIRECTOR)
(330) 491-1490
Entity
Organization
Contact information
Practice address
625 JAMES S. TRIMBLE BLVD, PAINTSVILLE, KY 41240
(606) 920-9988
(606) 920-9978
Mailing address
4197 FULTON DR NW, STE C, CANTON, OH 44718-2819
(330) 491-1490
(330) 491-1466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
720243
KY
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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