# KENTUCKY DIAGNOSTIC ULTRASOUND, LLC

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

## Provider details

- **NPI number:** 1780109116
- **Authorized official:** MRS. JULIE Y PERRY ARRT(R)(M),RVT (OWNER/OPERATOR)
- **Authorized official phone:** (606) 219-1074

## Contact information

- **Practice address:** 324 WATER CLIFF DR., SOMERSET, KY 42503
- **Practice address phone:** (606) 219-1074
- **Practice address fax:** (606) 677-0175
- **Mailing address:** 324 WATER CLIFF DR, SOMERSET, KY 42503-5390
- **Mailing address phone:** (606) 219-1074
- **Mailing address fax:** (606) 677-0175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 720431 | KY | Yes |

## Other

- **Enumeration date:** 08/07/2017
- **Last updated:** 07/21/2022