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Organization
BLUEGRASS REGIONAL CANCER CENTER LLP
Active
Organization
BLUEGRASS REGIONAL CANCER CENTER LLP
Active
Other names
Louisville Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COMMINS (CEO)
(239) 931-7275
Entity
Organization
Contact information
Practice address
4500 CHURCHMAN AVE, SUITE 100, LOUISVILLE, KY 40215-1143
(502) 363-3100
(502) 363-1110
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931693
—
KY
01
—
CK9008
RAILROAD MEDICARE
KY
Enumeration date
01/20/2006
Last updated
07/12/2019
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