Provider Demographics
NPI:1952625824
Name:CENTRAL KENTUCKY CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:CENTRAL KENTUCKY CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DINARDO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:859-745-6480
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40392-0080
Mailing Address - Country:US
Mailing Address - Phone:859-745-6480
Mailing Address - Fax:859-745-6493
Practice Address - Street 1:1107 W LEXINGTON AVE
Practice Address - Street 2:SPECIALTY CLINIC
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1169
Practice Address - Country:US
Practice Address - Phone:859-745-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02788207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty