Organization
TIMOTHY DINEEN M.D.
Active
Other names
Blueridge Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY E DINEEN M.D. (RADIOLOGIST)
(859) 626-0484
Entity
Organization
Contact information
Practice address
103 ALYCIA DR, RICHMOND, KY 40475-2368
(859) 626-0484
(859) 626-3663
Mailing address
PO BOX 909, BEREA, KY 40403-0909
(859) 626-0484
(859) 626-3663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27798
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64277981
—
KY
Enumeration date
03/30/2007
Last updated
07/20/2012
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