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Contact Information

BRYAN BORDERS
546 HUNTERS GLN
MADISONVILLE, KY42431-8688
 Phone: 270-824-9630
 Fax: 270-824-9630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for BRYAN BORDERS · (Male)

NPI Number 1427198639
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1005409168
  • KY Medicaid 86054012
  • KY Other 000000111564 ANTHEM BLUE CROSS
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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