Organization
RENAISSANCE NUCLEAR IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS RAY NICHOLS II CNMT (OWNER)
(606) 920-9966
Entity
Organization
Contact information
Practice address
2900 WINCHESTER AVE, ASHLAND, KY 41101-1962
(606) 920-9966
(606) 920-9965
Mailing address
2900 WINCHESTER AVE, ASHLAND, KY 41101-1962
(606) 920-9966
(606) 920-9965
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
6206
KY
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000619
—
KY
Enumeration date
06/21/2006
Last updated
05/20/2008
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