Organization
BLUEGRASS RADIOLOGY ASSOCIATES INC
Active
Organization
BLUEGRASS RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M BAKER MD (PRESIDENT)
(606) 679-7441
Entity
Organization
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
(606) 678-9919
Mailing address
PO BOX 2425, INDIANAPOLIS, IN 46206-2425
(866) 388-4129
(866) 505-6937
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059580
BCBS
KY
05
—
6591689200
—
KY
Enumeration date
05/18/2006
Last updated
07/21/2022
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