KENTUCKY BREAST CARE
NPI 1295097319
Radiology - Diagnostic Radiology in Russell Springs, KY

Active since June 14, 2012
38 JOE T PETTY DRIVE, RUSSELL SPRINGS, KY 42642(606) 658-9535(270) 866-9716 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky Breast Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY BREAST CARE (NPI 1295097319) is a healthcare organization registered as a diagnostic radiology in Russell Springs, Kentucky and active in the NPI registry since June 2012. The organization lists Andrea Woodroof, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1295097319
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameKENTUCKY BREAST CARE
Location Address38 JOE T PETTY DRIVERussell Springs, KY 42642-8553
Mailing Address38 Joe T Pettey DriveRussell Springs, KY 42642-8553 · (606) 658-9535 · Fax (270) 866-9716
Fax(270) 866-9716
Organization SubpartNo
Authorized OfficialAndrea WoodroofManaging Member · (606) 658-9535
Enumeration DateJune 14, 2012
Last NPPES UpdateNovember 2, 2012
NPI 1295097319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
38 JOE T PETTY DRIVE, Russell Springs, KY 42642

Other Identifiers 1

Medicaid7100212880KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
38 JOE T PETTY DRIVE
RUSSELL SPRINGS, KY 42642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Breast Care's NPI number?

The NPI number for Kentucky Breast Care is 1295097319. It was assigned to this organization in the NPPES registry on June 14, 2012.

Where is Kentucky Breast Care located?

Kentucky Breast Care is located at 38 Joe T Petty Drive, Russell Springs, KY 42642. The listed phone number is (606) 658-9535.

What is Kentucky Breast Care's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kentucky Breast Care was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.