Organization
KENTUCKY MEDICAL SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GLINIECKI (DIRECTOR)
(855) 200-8262
Entity
Organization
Contact information
Practice address
7000 W PALMETTO PARK RD STE 205, BOCA RATON, FL 33433-3430
(855) 200-8262
Mailing address
3945 PEPPERTREE DR, LEXINGTON, KY 40513-1398
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
38090
KY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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