Western Kentucky Radiation Oncology

NPI 1538245451 - Radiology - 2085R0203X

NPI Details
NPI 1538245451
Enumeration Date 10/31/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GRAE L GRAE
Position MD
Phone (402) 432-1072
Fax
Practice Location
117 E 18TH ST
SUITE 156
OWENSBORO KY, 42303-3752, US
Phone (402) 432-1072
Fax
Business Location
PO BOX 16503
CHAPEL HILL NC, 27516-6503, US
Phone (919) 967-6646
Fax (919) 967-6647
Toxanomy
Taxonomy Code 2085R0203X
License State Kentucky
License Number TP861
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According to our database, Western Kentucky Radiation Oncology NPI is 1538245451, taxonomy code is 2085R0203X and license number is TP861, license state is located at Kentucky. Western Kentucky Radiation Oncology physically located at 117 E 18th St, Owensboro KY, 42303-3752. NPI Number 1033115704 has the healthcare provider type.

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1538245451 NPI number is provided on an as is basis without warranty of any kind. 1538245451 is maintained by the National Plan & Provider Enumeration System. The contents of Western Kentucky Radiation Oncology are for informational purposes only.