Organization
PHYSICIAN SERVICES, PSC
Active
Other names
Kentucky Pain Care & Bluegrass High Speed MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E WINDSOR MD (OWNER OF TIN/MD)
(859) 252-6500
Entity
Organization
Contact information
Practice address
189 WEST HIGHWAY 192 BYPASS, LONDON, KY 40741-2428
(859) 252-6500
(606) 877-5454
Mailing address
189 WEST HIGHWAY 192 BYPASS, LONDON, KY 40741-2428
(859) 252-6500
(606) 877-5454
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2472800
OHIO MEDICAID
KY
01
—
3810003494
WV MEDICAID
KY
05
—
65926552
—
KY
01
—
CD2933
RR MEDICARE
KY
Enumeration date
02/24/2006
Last updated
10/28/2013
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