Organization
TRI-STATE RADIOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDY BOYKIN MD (GROUP PRESIDENT)
(606) 327-4633
Entity
Organization
Contact information
Practice address
2201 LEXINGTON AVE, KINGS DAUGHTER MEDICAL CENTER, ASHLAND, KY 41101-2843
(606) 833-5741
(859) 223-2732
Mailing address
PO BOX 2408, ASHLAND, KY 41105-2408
(606) 327-4633
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927279
—
KY
Enumeration date
06/01/2006
Last updated
11/15/2007
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