Organization
CUMBERLAND RADIOLOGY PSC
Active
Organization
CUMBERLAND RADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DONALD DOOLEY M. D. (PRES)
(606) 256-4208
Entity
Organization
Contact information
Practice address
145 PERCIFUL ST, MOUNT VERNON, KY 40456-2740
(706) 226-6806
(706) 226-6806
Mailing address
PO BOX 1270, MOUNT VERNON, KY 40456-1270
(706) 226-6806
(706) 226-6806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25769
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349604
BCBS
KY
05
—
64257637
—
KY
Enumeration date
05/02/2007
Last updated
12/10/2007
Update your record
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