Organization
DIRECT RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE J HENNEBERRY MD (CHIEF MEDICAL OFFICER)
(855) 687-7237
Entity
Organization
Contact information
Practice address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(855) 687-7237
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(855) 687-7237
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
07/25/2023
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