Organization
BLUEGRASS BREAST IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY B STIGERS M.D. (MEMBER)
(859) 219-0542
Entity
Organization
Contact information
Practice address
160 N EAGLE CREEK DR, STE 101, LEXINGTON, KY 40509-2121
(859) 967-5613
(859) 967-5617
Mailing address
1218 S BROADWAY, SUITE 310, LEXINGTON, KY 40504-2759
(859) 219-0542
(859) 219-9433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65937278
—
KY
Enumeration date
07/16/2006
Last updated
10/25/2010
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