Conrad, Gary R

Conrad, Gary R is an individual health care provider with primary practice located at 800 Rose St Hx318, Lexington KY 40536-0293. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Conrad, Gary R can be contacted via phone (859) 323-5069.

Contact Information

Primary practice address
800 Rose St Hx318 Lexington KY 40536-0293
Phone: (859) 323-5069
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 26309 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26309 Kentucky

Profile Details

NPI number 1134161110
LBN Legal business name Conrad, Gary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134161110 NPPES
Kentucky MEDICAID 64263098

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