| Organization Name: | KENTUCKIANA RADIOLOGY SERVICES, INC |
| NPI Number: | 1124236740 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA BOWYER (PRESIDENT) |
| Mailing Address: | 858 S Penn Ave Sellersburg |
| State: | IN US |
| Postal Code: | 471721627 |
| Phone Number: | 5023631202 |
| Fax Number: | 8122464063 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 720043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |