Individual
BENJAMIN HOMER MCQUAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
781 EASTERN BYP, RICHMOND, KY 40475-2408
(859) 623-8827
(859) 623-8810
Mailing address
PO BOX 1429, FRANKFORT, KY 40602-1429
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216573
ANTHEM BLUE CROSS PIN
KY
05
—
64288863
—
KY
01
—
G04506
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/03/2006
Last updated
07/09/2007
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