Organization
KENTUCKY MEDICAL IMAGING ASSOCIATES LLC
Active
Organization
KENTUCKY MEDICAL IMAGING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS C CRUTCHER MD (MEMBER)
(859) 229-0499
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7498
(859) 234-2300
(859) 235-3699
Mailing address
1700 EASTPOINT PKWY, SUITE 220, LOUISVILLE, KY 40223-4140
(502) 753-4949
(502) 753-4950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65904617
—
KY
Enumeration date
05/16/2006
Last updated
09/03/2015
Update your record
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