Organization
SOUTH CENTRAL KY OPEN MRI, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNICE O AARON M.D. (PRESIDENT)
(502) 222-3281
Entity
Organization
Contact information
Practice address
200 MILBY ST, GREENSBURG, KY 42743-1136
(270) 932-3654
(270) 932-3167
Mailing address
120 E ADAMS ST, STE 4, LAGRANGE, KY 40031-1278
(502) 222-3281
(502) 225-5796
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65900623
—
KY
01
—
CK6486
RAILROAD MEDICARE GROUP
KY
Enumeration date
07/15/2006
Last updated
10/31/2007
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