Organization
KENTUCKY RADIATION THERAPY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B SEITHER MD (PHYSICIAN OWNER)
(270) 706-5065
Entity
Organization
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-5065
(270) 706-1082
Mailing address
PO BOX 2353, ELIZABETHTOWN, KY 42702-2353
(270) 706-5065
(270) 706-1082
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316840A
—
IN
01
—
2437860000
PASSPORT
KY
05
—
65921868
—
KY
Enumeration date
12/08/2006
Last updated
09/30/2014
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