Organization
PREMIER RADIOLOGY SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L. BURNER MD (PRESIDENT)
(800) 824-2544
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(800) 824-2544
Mailing address
PO BOX 8035, CANTON, OH 44711-8035
(800) 824-2544
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64060155
—
KY
Enumeration date
03/27/2007
Last updated
07/21/2022
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