Organization
PROFESSIONAL RADIOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HOMER MCQUAIDE M.D. (PRESIDENT)
(859) 623-8827
Entity
Organization
Contact information
Practice address
781 EASTERN BYP, PATTIE A. CLAY HOSPITAL, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65936825
—
KY
Enumeration date
06/21/2006
Last updated
08/22/2020
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