Direct Radiology Pllc
NPI #1144572173 in Bothell, Washington
Provider Information
- NPI Number
- 1144572173
- Entity Type
- Organization
- Organization Name
- Direct Radiology Pllc
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Jul 25, 2023
Practice Location
- Address
- 22100 BOTHELL EVERETT HWY
- City
- Bothell
- State
- Washington
- ZIP Code
- 98021-8431
- Phone
- (855) 687-7237
Authorized Official
- Name
- DR. KYLE J HENNEBERRY, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (855) 687-7237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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