Organization
CENTRAL KENTUCKY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GENE DENNISON M.D. (PROPRIETOR)
(270) 259-5224
Entity
Organization
Contact information
Practice address
908 WALLACE AVE STE 102, LEITCHFIELD, KY 42754-1479
(270) 259-5224
(270) 287-0173
Mailing address
908 WALLACE AVE STE 102, LEITCHFIELD, KY 42754-1479
(270) 259-5224
(270) 287-0173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25085
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64250855
—
KY
Enumeration date
10/23/2007
Last updated
11/07/2007
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