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Contact Information

KENTUCKY RADIATION THERAPY ASSOCIATES PSC
913 N DIXIE AVE
ELIZABETHTOWN, KY42701-2503
 Phone: 270-706-5065
 Fax: 270-706-1082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KENTUCKY RADIATION THERAPY ASSOCIATES PSC · (Female)

NPI Number 1174682710
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2006
Last updated 09/30/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 28446
  • IN Medicaid 200316840A
  • KY Medicaid 65921868
  • KY Other 2437860000 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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