Organization
KENTUCKY IMAGING GROUP
Active
Other names
KENTUCKY IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARINA LAWSON BUTLER MD (OWNER, MEDICAL DIRECTOR,RADIOLOGIST)
(859) 275-2100
Entity
Organization
Contact information
Practice address
3475 RICHMOND RD, SUITE #150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 275-1159
Mailing address
3475 RICHMOND RD, SUITE #150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 275-1159
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
730053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530073
ANTHEM
KY
05
—
7100022210
—
KY
Enumeration date
11/13/2006
Last updated
05/12/2011
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