Individual
ALLEN R BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7498
(859) 323-2222
(859) 323-5090
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
25926
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244297
BCBS
KY
01
—
000000388619
BCBS
KY
05
—
0118679000
—
WV
05
—
0165146
—
OH
01
—
0730701
MEDICARE PTAN
—
01
—
300135825
RAILROAD MEDICARE
KY
05
—
64259260
—
KY
01
—
P00296753
RAILROAD MEDICARE
KY
Enumeration date
07/08/2005
Last updated
12/16/2021
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