| Kentucky Pain Care & Bluegrass High Speed Mri | |
|
189 West Highway 192 Bypass London KY 40741-2428 | |
| (859) 252-6500 | |
| (606) 877-5454 |
| Full Name | Kentucky Pain Care & Bluegrass High Speed Mri |
|---|---|
| Speciality | Psychiatry & Neurology - Pain Medicine |
| Location | 189 West Highway 192 Bypass, London, Kentucky |
| Authorized Official Name and Position | Robert E Windsor (OWNER OF TIN/MD) |
| Authorized Official Contact | 8592526500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Pain Care & Bluegrass High Speed Mri 189 West Highway 192 Bypass London KY 40741-2428 Ph: (859) 252-6500 | Kentucky Pain Care & Bluegrass High Speed Mri 189 West Highway 192 Bypass London KY 40741-2428 Ph: (859) 252-6500 |
| NPI Number | 1700852340 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 10/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700852340 | NPI | - | NPPES |
| 2472800 | Other | KY | OHIO MEDICAID |
| CD2933 | Other | KY | RR MEDICARE |
| 3810003494 | Other | KY | WV MEDICAID |
| 65926552 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
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