| Organization Name: | RENAISSANCE NUCLEAR IMAGING |
| NPI Number: | 1194978999 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CURTIS R NICHOLS (OWNER) |
| Mailing Address: | 234 Medical Cir Morehead |
| State: | KY US |
| Postal Code: | 403511194 |
| Phone Number: | 6069209966 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2008 |
| NPI Last Update Date: | 10/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |