| Maysville Diagnostic Center Llc | |
|
910 Kenton Station Dr Suite E Maysville KY 41056-9658 | |
| (606) 759-0073 | |
| (606) 759-0075 |
| Full Name | Maysville Diagnostic Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 910 Kenton Station Dr, Maysville, Kentucky |
| Authorized Official Name and Position | Donna Ishmael (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6067590073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maysville Diagnostic Center Llc 910 Kenton Station Dr Suite E Maysville KY 41056-9658 Ph: (606) 759-0073 | Maysville Diagnostic Center Llc 910 Kenton Station Dr Suite E Maysville KY 41056-9658 Ph: (606) 759-0073 |
| NPI Number | 1952423691 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952423691 | NPI | - | NPPES |
| 7100029410 | Medicaid | KY | |
| P00458422 | Other | KY | RR MEDICARE |
| 000000555492 | Other | KY | ANTHEM |
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