Organization
KNOX COUNTY RADIOLOGY ASSOCIATES, INC.
Active
Organization
KNOX COUNTY RADIOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WADE BOLES (CEO)
(606) 546-7200
Entity
Organization
Contact information
Practice address
215 TREUHAFT BLVD, SUITE 3, BARBOURVILLE, KY 40906
(606) 546-7200
(606) 546-7221
Mailing address
215 TREUHAFT BLVD, SUITE 3, BARBOURVILLE, KY 40906
(606) 546-7200
(606) 546-7221
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204791
ANTHEM
—
05
—
65934499
—
KY
Enumeration date
08/17/2006
Last updated
09/19/2012
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