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1801658364 NPI number — CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP

NPI Number: 1801658364
Health Care Provider/Practitioner: CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP

Information about “1801658364” NPI (CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP) exists in 1801658364 in HTML format HTML  |  1801658364 in plain Text format TXT  |  1801658364 in PDF (Portable Document Format) PDF  |  1801658364 in an XML format XML  formats.

NPI Number : 1801658364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801658364",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 RIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RUTHERFORD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07070-2136",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "520 TECHWOOD DR N STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40422-8500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-236-9819",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2024",
    "LastUpdateDate": "11/13/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARRERA",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": "NICOLE",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "209-914-8534",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0001X",
        "TaxonomyName": "Radiation Oncology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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