Organization
ASHLAND RADIATION ONCOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY M LOPEZ (BUSINESS MANAGER)
(606) 329-0060
Entity
Organization
Contact information
Practice address
706 23RD ST, TRI-STATE REGIONAL CANCER CENTER, ASHLAND, KY 41101-2832
(606) 329-0060
(606) 325-9366
Mailing address
706 23RD ST, TRI-STATE REGIONAL CANCER CENTER, ASHLAND, KY 41101-2832
(606) 329-0060
(606) 325-9366
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004701
—
WV
05
—
65919201
—
KY
Enumeration date
02/21/2007
Last updated
09/19/2013
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